MEDICARE: DR. JEAN W HSU 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	12142T	CA

General Provider Information

NPI Number	:	1831169663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEAN W HSU O.D.

Provider Business Mailing Address
First Line	:	1190 SCOTT BLVD
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-4562
Country	:	US
Telephone Number	:	408-244-4335
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 SOUTH DRIVE
Second Line	:	SUITE #219
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040
Country	:	US
Telephone Number	:	650-969-4600
Fax Number	:

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	04/04/2026

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