Provider Demographics
NPI:1205846961
Name:HSIEH, LINDA (OD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:HSIEH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:HSIEH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OPTOMETRIST
Mailing Address - Street 1:27800 MEDICAL CENTER RD.
Mailing Address - Street 2:SUITE 130
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6407
Mailing Address - Country:US
Mailing Address - Phone:949-364-0225
Mailing Address - Fax:949-364-9014
Practice Address - Street 1:27800 MEDICAL CENTER RD.
Practice Address - Street 2:SUITE 130
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6407
Practice Address - Country:US
Practice Address - Phone:949-364-0225
Practice Address - Fax:949-364-9014
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9462T207W00000X
CA9462TPG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
U81646Medicare UPIN