Provider Demographics
NPI:1407093834
Name:THRELKELD, CINDY HSIAO (OD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:HSIAO
Last Name:THRELKELD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CINDY
Other - Middle Name:FAN-HSING
Other - Last Name:HSIAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:250 CAMBRIDGE AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1549
Mailing Address - Country:US
Mailing Address - Phone:650-323-6772
Mailing Address - Fax:
Practice Address - Street 1:250 CAMBRIDGE AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1549
Practice Address - Country:US
Practice Address - Phone:650-323-6772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11147T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U89550Medicare UPIN