Individual provider Active NPI

Chris Hsieh, OD

  • Optometrist
  • Fullerton, CA
National Provider Identifier
1114553518
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34539 Issued in CA
Practice address
1909 W Malvern Ave
Fullerton, CA 92833-2177
Phone
(714) 992-8020
NPI assigned
Mar 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34539 CA Primary

Addresses

Primary practice location

1909 W Malvern Ave
Fullerton, CA 92833-2177

Mailing address

1909 W Malvern Ave
Fullerton, CA 92833-2177

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
I20200710000425 CA Practitioner - Optometry 4183047046 Reassigns benefits to 1 organization
Practice locations: Irvine, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alvin Arellano OD IncGroup PAC ID 9335182625, 5 clinicians

Practice addresses (Care Compare)

1909 W Malvern Ave
Fullerton, CA 92833-2177
Phone (714) 992-8020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alvin Arellano, O.D., Inc. CurrentSince Feb 11, 2021 Accepting new patients
Jimmy K. Lee, M.D. Inc. PastSince Aug 2, 2020 Accepting new patients
Pacific Partners Optometric Group Inc Optometrist Past Accepting new patients

Locations

6200 E Canyon Rim Rd
#101
Anaheim, CA 92807
Phone (714) 992-8020

1909 W Malvern Ave
Fullerton, CA 92833
Phone (714) 992-8020

850 E Chapman Ave
Ste B
Orange, CA 92866
Phone (714) 538-1434

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1114553518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 W MALVERN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 W MALVERN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332177",
            "telephone_number": "714-992-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.