Individual
DR. MICHAEL A HSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001292
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
911106751
PREMERA BLUE CROSS
WA
01
—
HS0076
REGENCE
WA
Enumeration date
07/27/2005
Last updated
03/13/2018
Update your record
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