Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 12985 | CA |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 12985 | CA |
N | 152WP0200X | Pediatric Optomitrist | 12985 | CA |
NPI | 1033152624 |
---|---|
Provider Name | Dr. Vincent Hsu |
First Address | Fullerton, CA 92833-1624 |
Second Address | Inglewood, CA 90301-4878 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 08/07/2007 |