MEDICARE: DR. PEI-CHEN HSIEH O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	13738	CA

General Provider Information

NPI Number	:	1609005115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PEI-CHEN HSIEH O.D.

Provider Business Mailing Address
First Line	:	6531 CROWN BLVD
Second Line	:	STE 4
City	:	SAN JOSE
State	:	CA
Zip	:	95120-2906
Country	:	US
Telephone Number	:	949-502-1189
Fax Number	:

Provider Business Practice Location Address
First Line	:	6531 CROWN BLVD STE 4
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95120-2906
Country	:	US
Telephone Number	:	408-997-2020
Fax Number	:	408-997-2072

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2009
Last Update Date	:	01/24/2022

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