Provider Demographics
NPI:1124247101
Name:HSIAO, PAUL YU YI (OD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:YU YI
Last Name:HSIAO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:
Practice Address - Street 1:46300 LEXINGTON VILLAGE WAY
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-5560
Practice Address - Country:US
Practice Address - Phone:301-862-2836
Practice Address - Fax:301-737-3390
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618003166152W00000X
MDTA0953152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PS41X894Medicare ID - Type Unspecified
U32816Medicare UPIN