Individual provider Active NPI

Kevin Zhang, OD

  • Optometrist
  • Princeton, NJ
National Provider Identifier
1518488394
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00710400 Issued in NJ
Practice address
46 Nassau St
Princeton, NJ 08542-4521
Phone
(609) 921-2333
Fax
(609) 921-3797
NPI assigned
Jun 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008605 NY
Optometrist 152W00000X 27OA00710400 NJ Primary

Addresses

Primary practice location

46 Nassau St
Princeton, NJ 08542-4521

Mailing address

822 Marc Dr
North Brunswick, NJ 08902-5109
Phone (609) 712-5649

Other practice location 1

976 3rd Ave
Brooklyn, NY 11232-2400
Phone (718) 965-7612

Other practice location 2

150 5th Ave
New York, NY 10011-4311
Phone (212) 352-9022

Other practice location 3

510 6th Ave
New York, NY 10011-8412
Phone (212) 647-0801

Other practice location 4

639 Broad St Spc S-17
Shrewsbury, NJ 07702-4150
Phone (732) 534-3451

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
I20180501000353 NY Practitioner - Optometry 4486918380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00710400NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sightrite Inc Optometrist CurrentSince Apr 1, 2018 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Locations

236 Broadway
Ste 220
Brooklyn, NY 11211

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300

134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1518488394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 MARC DR",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089025109",
            "telephone_number": "609-712-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 NASSAU ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085424521",
            "telephone_number": "609-921-2333",
            "fax_number": "609-921-3797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "976 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112322400",
            "country_code": "US",
            "telephone_number": "718-965-7612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100114311",
            "country_code": "US",
            "telephone_number": "212-352-9022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 6th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100118412",
            "country_code": "US",
            "telephone_number": "212-647-0801",
            "fax_number": "212-647-0818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "639 Broad St Spc S-17",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "NJ",
            "postal_code": "077024150",
            "country_code": "US",
            "telephone_number": "732-534-3451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008605",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00710400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.