Individual provider Active NPI

Anne Hsiue, O.D.

  • Optometrist
  • Rockford, IL
National Provider Identifier
1912044439
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009462 Issued in IL
Practice address
7151 Walton St.
Sam'S Club Optical
Rockford, IL 61108-2591
Phone
(815) 397-4704
Fax
(815) 397-4812
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009462 IL
Optometrist 152W00000X 046-009462 IL Primary

Addresses

Primary practice location

7151 Walton St.
Sam'S Club Optical
Rockford, IL 61108-2591

Mailing address

958 Stonefield Lane
Rockford, IL 61108-2591
Phone (708) 674-7389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
046-009462ILMDOptometrist
046009462ILMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1912044439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 STONEFIELD LANE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082591",
            "telephone_number": "708-674-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 WALTON ST.",
            "address_2": "SAM'S CLUB OPTICAL",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082591",
            "telephone_number": "815-397-4704",
            "fax_number": "815-397-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIUE",
        "first_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009462",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.