Provider Demographics
NPI:1285040147
Name:HSIA, SOPHIA JOYCE (OD)
Entity Type:Individual
Prefix:
First Name:SOPHIA
Middle Name:JOYCE
Last Name:HSIA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 N BRAND BLVD STE 110
Mailing Address - Street 2:C/O ADVANCED EYECARE PROFESSIONAL OPTOMETRIC GROUP
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2308
Mailing Address - Country:US
Mailing Address - Phone:877-393-7260
Mailing Address - Fax:
Practice Address - Street 1:330 N BRAND BLVD STE 110
Practice Address - Street 2:C/O ADVANCED EYECARE PROFESSIONAL OPTOMETRIC GROUP
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2308
Practice Address - Country:US
Practice Address - Phone:877-393-7260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14997152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist