Individual provider Active NPI

Pei-Shan Hsieh, O.D.

  • Optometrist
  • Windsor, CA
National Provider Identifier
1023208071
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT13353 Issued in CA
Practice address
6650 Hembree LN
Windsor, CA 95492-9739
Phone
(707) 838-0397
Fax
(707) 838-0188
NPI assigned
Jul 26, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT13353 CA Primary

Addresses

Primary practice location

6650 Hembree LN
Windsor, CA 95492-9739

Mailing address

6650 Hembree LN
Windsor, CA 95492-9739
Phone (707) 838-0397

Other names 1

  • Dr. Vicky Hsieh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140606001148 CA Practitioner - Optometry 7214151547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT13353CAMDOptometrist
13353CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hsieh Kitajima Optometry, a Professional Corporation Optometrist CurrentSince Feb 19, 2014 Accepting new patients

Locations

1445 Foxworthy Ave
Ste 60
San Jose, CA 95118
Phone (408) 300-0312

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1023208071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 HEMBREE LN",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954929739",
            "telephone_number": "707-838-0397",
            "fax_number": "707-838-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 HEMBREE LN",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954929739",
            "telephone_number": "707-838-0397",
            "fax_number": "707-838-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "PEI-SHAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKY",
            "last_name": "HSIEH",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Windsor, CA

Sources for this page

Verify at the official NPI Registry.