Individual provider Active NPI

Pei-Chen Hsieh, O.D.

  • Optometrist
  • San Jose, CA
National Provider Identifier
1609005115
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13738 Issued in CA
Practice address
6531 Crown Blvd Ste 4
San Jose, CA 95120-2906
Phone
(408) 997-2020
Fax
(408) 997-2072
NPI assigned
Jul 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13738 CA Primary

Addresses

Primary practice location

6531 Crown Blvd Ste 4
San Jose, CA 95120-2906

Mailing address

6531 Crown Blvd
Ste 4
San Jose, CA 95120-2906
Phone (949) 502-1189

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
I20101028000671 CA Practitioner - Optometry 1456545920 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pei-Chen Hsieh, O.D., Inc. Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Pei-Chen Hsieh, O.D., Inc. CurrentSince Jan 26, 2022 Accepting new patients
Pearle Visioncare, Inc Past Accepting new patients

Locations

6531 Crown Blvd
Ste 4
San Jose, CA 95120
Phone (408) 997-2020

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1609005115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6531 CROWN BLVD",
            "address_2": "STE 4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202906",
            "telephone_number": "949-502-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6531 CROWN BLVD STE 4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202906",
            "telephone_number": "408-997-2020",
            "fax_number": "408-997-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "PEI-CHEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.