Adam Zhao, OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00650000 Issued in NJ

Legal business name

ADAM ZHAO, OD LLC

Doing business as

Amwell Eye Care

Practice address

390 Amwell Rd
Suite 401
Hillsborough, NJ 08844-1225

Phone

(908) 524-1888

NPI assigned

Jul 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Adam Y Zhao, ODNPI 1780016535

Title

Owner

Phone

(908) 524-1888

Specialties & licenses 1

Addresses

Other names 1

• Amwell Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

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.

• Adam Yi Zhao, O.D.

  • Optometrist
  • Hillsborough, NJ
  • NPI 1780016535
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1396198495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "address_2": "SUITE 401",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441225",
            "telephone_number": "908-524-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 AMWELL RD",
            "address_2": "SUITE 401",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441225",
            "telephone_number": "908-524-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM ZHAO, OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-524-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00650000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amwell Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.