Provider Demographics
NPI:1023208071
Name:HSIEH, PEI-SHAN (OD)
Entity Type:Individual
Prefix:DR
First Name:PEI-SHAN
Middle Name:
Last Name:HSIEH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:VICKY
Other - Middle Name:
Other - Last Name:HSIEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:6650 HEMBREE LN
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492-9739
Mailing Address - Country:US
Mailing Address - Phone:707-838-0397
Mailing Address - Fax:707-838-0188
Practice Address - Street 1:6650 HEMBREE LN
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CA
Practice Address - Zip Code:95492-9739
Practice Address - Country:US
Practice Address - Phone:707-838-0397
Practice Address - Fax:707-838-0188
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT13353152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist