Malden Eyecare Clinic LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4739 Issued in MA

Legal business name

MALDEN EYECARE CLINIC LLC

Practice address

280 Washington St
Inside Wal-Mart Vision Center
Hudson, MA 01749-2735

Phone

(978) 568-1036

Fax

(978) 568-1059

NPI assigned

Jul 22, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Xinsheng Zhu, ODNPI 1972732147

Title

Director

Phone

(617) 512-0604

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Xinsheng Zhu, O.D.

  • Optometrist
  • Malden, MA
  • NPI 1972732147
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1336379510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 MAIN ST",
            "address_2": "#23",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483760",
            "telephone_number": "617-512-0604",
            "fax_number": "617-418-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 WASHINGTON ST",
            "address_2": "INSIDE WAL-MART VISION CENTER",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492735",
            "telephone_number": "978-568-1036",
            "fax_number": "978-568-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALDEN EYECARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "ZHU",
        "authorized_official_first_name": "XINSHENG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-512-0604",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Lyons, NP
• Emily Macdonald
• Renee Mahler
• Diane W. Maillet, M.ED., ATC, LAT
• Eunice Maina
• Naomi M Mancuso
• Maureen C Mann, LICSW, EMP, RMT
• Briana Mansour
• Craig J Marandola
• Amy Elizabeth Margagnoni, LICSW

• Optometrist in Hudson, MA
• Providers in Hudson, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.