Provider Demographics
NPI:1730821638
Name:VINCENT HSU PROFESSIONAL CORP
Entity type:Organization
Organization Name:VINCENT HSU PROFESSIONAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:HSU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:626-821-0222
Mailing Address - Street 1:6239 CAMELLIA AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-1759
Mailing Address - Country:US
Mailing Address - Phone:714-743-5748
Mailing Address - Fax:
Practice Address - Street 1:1220 S GOLDEN WEST AVE STE B
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7484
Practice Address - Country:US
Practice Address - Phone:626-821-0222
Practice Address - Fax:626-821-9420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty