Provider Demographics
NPI:1841672268
Name:HSIA, MATTHEW C (OD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:C
Last Name:HSIA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:MATTHEW
Other - Middle Name:CHANG
Other - Last Name:HSIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:1860 PAYSHERE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-0001
Mailing Address - Country:US
Mailing Address - Phone:630-545-6016
Mailing Address - Fax:
Practice Address - Street 1:303 E ARMY TRAIL RD STE 200
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2143
Practice Address - Country:US
Practice Address - Phone:630-351-2030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15283152W00000X
IL046011110152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist