Organization Active NPI

Vincent Hsu Professional Corp

  • Optometrist
  • Arcadia, CA
National Provider Identifier
1730821638
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VINCENT HSU PROFESSIONAL CORP
Practice address
1220 S Golden West Ave Ste B
Arcadia, CA 91007-7484
Phone
(626) 821-0222
Fax
(626) 821-9420
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Dr. Vincent Hsu, ODNPI 1033152624
Title
President
Phone
(626) 821-0222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1220 S Golden West Ave Ste B
Arcadia, CA 91007-7484

Mailing address

6239 Camellia Ave
Temple City, CA 91780-1759
Phone (714) 743-5748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221118001870 CA Part B Supplier - Clinic/Group Practice 2860860053 Receives reassigned benefits from 3 practitioners
Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Locations

1220 S Golden West Ave
Ste C
Arcadia, CA 91007
Phone (626) 821-0222

1220 S Golden West Ave
Ste B
Arcadia, CA 91007
Phone (626) 821-0222

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1730821638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6239 CAMELLIA AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801759",
            "telephone_number": "714-743-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S GOLDEN WEST AVE STE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077484",
            "telephone_number": "626-821-0222",
            "fax_number": "626-821-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT HSU PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-821-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.