Provider Demographics
NPI:1659564334
Name:SHYU, BETSY PO-TSE (OD)
Entity Type:Individual
Prefix:DR
First Name:BETSY
Middle Name:PO-TSE
Last Name:SHYU
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 1:340 SOUTHLAND MALL
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-2132
Mailing Address - Country:US
Mailing Address - Phone:510-732-6207
Mailing Address - Fax:
Practice Address - Street 1:340 SOUTHLAND MALL
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-2132
Practice Address - Country:US
Practice Address - Phone:510-732-6207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY56007164152W00000X
CA13379 TPA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist