Healthcare Provider Details

I. General information

NPI: 1235449869
Provider Name (Legal Business Name): JAMES H HSIAU O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2010
Last Update Date: 09/10/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BAYNE-JONES ARMY COMMUNITY HOSPITAL 1585 THIRD ST
FORT JOHNSON LA
71459
US

IV. Provider business mailing address

LANDSTUHL REGIONAL MEDICAL CENTER UNIT 31000
APO AE
09180
US

V. Phone/Fax

Practice location:
  • Phone: 314-630-8931
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2986
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG002427
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: