Healthcare Provider Details

I. General information

NPI: 1750387304
Provider Name (Legal Business Name): JOSEPH Y HSU OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 E MIDDLE ST
GETTYSBURG PA
17325-1926
US

IV. Provider business mailing address

408 E MIDDLE ST
GETTYSBURG PA
17325-1926
US

V. Phone/Fax

Practice location:
  • Phone: 717-337-0707
  • Fax: 717-549-3306
Mailing address:
  • Phone: 717-337-0707
  • Fax: 717-549-3306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG002575
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: