Provider Demographics
NPI:1427328665
Name:HSIAO, GIGI (OD)
Entity type:Individual
Prefix:
First Name:GIGI
Middle Name:
Last Name:HSIAO
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 1:10118 BANDLEY DR STE C
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2155
Mailing Address - Country:US
Mailing Address - Phone:408-253-3235
Mailing Address - Fax:
Practice Address - Street 1:10118 BANDLEY DR STE C
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2155
Practice Address - Country:US
Practice Address - Phone:408-253-3235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10081TPA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist