Provider Demographics
NPI:1194025916
Name:HUEY AND HSIAO OPTOMETRIC CORPORATION
Entity Type:Organization
Organization Name:HUEY AND HSIAO OPTOMETRIC CORPORATION
Other - Org Name:AIRBASE OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:HSIAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-437-2020
Mailing Address - Street 1:628 PARKER RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-9004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:628 PARKER RD
Practice Address - Street 2:SUITE D
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-9004
Practice Address - Country:US
Practice Address - Phone:707-437-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty