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General NPI Number Information
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NPI Number | 1033152624
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Entity Type | Individual
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Provider Name | VINCENT HSU O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 236 S CITRUS ST
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City | WEST COVINA
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State | CA
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Zip | 91791-2144
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Country | US
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Telephone | 626-935-8886
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Fax |
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Provider Business Mailing Address
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Address Line | 2257 LOMA VERDE DR
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City | FULLERTON
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State | CA
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Zip | 92833-1624
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Country | US
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Telephone | 714-743-5748
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 12985
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | 12985
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 12985
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License Number State | CA
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