Individual provider Active NPI

Michael A Hsu, O.D.

  • Optometrist
  • Seattle, WA
National Provider Identifier
1790785251
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00001292 Issued in WA
Practice address
6850 35TH Ave NE
Ste 4
Seattle, WA 98115-7344
Phone
(206) 527-1900
Fax
(206) 374-2550
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00001292 WA Primary

Addresses

Primary practice location

6850 35TH Ave NE
Ste 4
Seattle, WA 98115-7344

Mailing address

6850 35TH Ave NE
Ste 4
Seattle, WA 98115-7344
Phone (206) 527-1900

Other identifiers 2

IdentifierTypeStateIssuer
HS0076OtherWAREGENCE
911106751OtherWAPREMERA BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1790785251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 35TH AVE NE",
            "address_2": "STE 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157344",
            "telephone_number": "206-527-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 35TH AVE NE",
            "address_2": "STE 4",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981157344",
            "telephone_number": "206-527-1900",
            "fax_number": "206-374-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "HS0076",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "911106751",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.