Provider Demographics
NPI:1972773802
Name:HSU-CHEN, DOLLY HSIAO-YING (OD)
Entity type:Individual
Prefix:DR
First Name:DOLLY
Middle Name:HSIAO-YING
Last Name:HSU-CHEN
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 1:19121 GROTTO LN
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1859
Mailing Address - Country:US
Mailing Address - Phone:301-728-6873
Mailing Address - Fax:
Practice Address - Street 1:19121 GROTTO LN
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1859
Practice Address - Country:US
Practice Address - Phone:301-728-6873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1871152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist