Healthcare Provider Details

I. General information

NPI: 1538735527
Provider Name (Legal Business Name): PEI-CHEN HSIEH, O.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2021
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6531 CROWN BLVD STE 4
SAN JOSE CA
95120-2906
US

IV. Provider business mailing address

5092 RUFFINO TER
SAN JOSE CA
95129-5123
US

V. Phone/Fax

Practice location:
  • Phone: 408-997-2020
  • Fax:
Mailing address:
  • Phone: 949-502-1189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. PEI-CHEN HSIEH
Title or Position: OWNER
Credential: O.D.
Phone: 949-502-1189