Provider Demographics
NPI:1205866944
Name:KAO, JENNIFER HSIOU-WEI (OD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HSIOU-WEI
Last Name:KAO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1630 OAKLAND ROAD
Mailing Address - Street 2:SUITE A 115
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131
Mailing Address - Country:US
Mailing Address - Phone:408-453-9988
Mailing Address - Fax:408-453-1178
Practice Address - Street 1:1630 OAKLAND ROAD
Practice Address - Street 2:SUITE A 115
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131
Practice Address - Country:US
Practice Address - Phone:408-453-9988
Practice Address - Fax:408-453-1178
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7828 T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0999220001Medicare NSC
CAT 10608Medicare UPIN