Provider Demographics
NPI:1619064409
Name:KAREN HSUEH OD PC
Entity Type:Organization
Organization Name:KAREN HSUEH OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HSUEH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-697-0888
Mailing Address - Street 1:5288 WEST SPRING MTN RD
Mailing Address - Street 2:SUITE# 102
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146
Mailing Address - Country:US
Mailing Address - Phone:702-697-0888
Mailing Address - Fax:702-876-8088
Practice Address - Street 1:5288 SPRING MOUNTAIN RD
Practice Address - Street 2:SUITE# 102
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-8714
Practice Address - Country:US
Practice Address - Phone:702-697-0888
Practice Address - Fax:702-876-8088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV536152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV08691Medicare UPIN