Provider Demographics
NPI:1609005115
Name:HSIEH, PEI-CHEN (OD)
Entity Type:Individual
Prefix:DR
First Name:PEI-CHEN
Middle Name:
Last Name:HSIEH
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 1:6531 CROWN BLVD
Mailing Address - Street 2:STE 4
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-2906
Mailing Address - Country:US
Mailing Address - Phone:949-502-1189
Mailing Address - Fax:
Practice Address - Street 1:6531 CROWN BLVD STE 4
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95120-2906
Practice Address - Country:US
Practice Address - Phone:408-997-2020
Practice Address - Fax:408-997-2072
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13738152W00000X, 152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation