Individual provider Active NPI

Wei Zhang, O.D.

  • Optometrist
  • Centereach, NY
National Provider Identifier
1366522054
Registry record updated Jun 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006477 Issued in NY
Practice address
161 Centereach Mall
Wal-Mart Vision Center
Centereach, NY 11720-2750
Phone
(631) 467-0402
Fax
(631) 585-0425
NPI assigned
Oct 17, 2006
Last updated
Jun 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006477 NY Primary

Addresses

Primary practice location

161 Centereach Mall
Wal-Mart Vision Center
Centereach, NY 11720-2750

Mailing address

40 Memorial Hwy
Apt 7H
New Rochelle, NY 10801-8312
Phone (914) 355-2794

Other identifiers 1

IdentifierTypeStateIssuer
A300000775OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090526000213 NY Practitioner - Optometry 7315096294 Reassigns benefits to 1 organization
Practice locations: Centereach, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

161 Centereach Mall
Centereach, NY 11720-2750
Phone (631) 467-0402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Medical Services, P.C. PastSince Aug 11, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277596800000",
    "number": "1366522054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MEMORIAL HWY",
            "address_2": "APT 7H",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108018312",
            "telephone_number": "914-355-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 CENTEREACH MALL",
            "address_2": "WAL-MART VISION CENTER",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117202750",
            "telephone_number": "631-467-0402",
            "fax_number": "631-585-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "WEI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A300000775",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

Verify at the official NPI Registry.