Individual provider Active NPI

Sam Hsu, OD

  • Optometrist
  • Redmond, WA
National Provider Identifier
1659437465
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003702 Issued in WA
Practice address
8070 160TH Ave NE
Redmond, WA 98052-3810
Phone
(425) 883-9300
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00003702 WA Primary

Addresses

Primary practice location

8070 160TH Ave NE
Redmond, WA 98052-3810

Mailing address

8070 160TH Ave NE
Redmond, WA 98052-3810
Phone (425) 883-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20101025001377 WA Practitioner - Optometry 6608069489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Washington Professional PCGroup PAC ID 3476927997, 61 clinicians

Practice addresses (Care Compare)

12310 NE 8TH St
Suite 101
Bellevue, WA 98005-3185
Phone (425) 455-0001

1468 158TH PL NE
Bellevue, WA 98008-2782
Phone (425) 883-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Washington Professional PC Optometrist CurrentSince Aug 30, 2023 Accepting new patients

Locations

1468 158th Pl NE
Bellevue, WA 98008
Phone (425) 883-9300

12310 NE 8th St
Ste 101
Bellevue, WA 98005
Phone (425) 455-0001

1098 Alder Ave
Marysville, WA 98270
Phone (360) 659-6255

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1659437465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8070 160TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523810",
            "telephone_number": "425-883-9300",
            "fax_number": "425-883-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8070 160TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523810",
            "telephone_number": "425-883-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "SAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.