Active NPI
Anne Hsiue, O.D.
- Optometrist
- Rockford, IL
National Provider Identifier
1912044439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-009462
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 046-009462 | IL | MD | Optometrist |
| 046009462 | IL | MD | Optometrist |
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.