Active NPI
Tina Zhu, OD
- Optometrist
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD60963014
- Practice address
- 19389 N 59TH Ave
Glendale, AZ 85308 - Phone
- (623) 537-6000
- Fax
- (623) 537-6014
- NPI assigned
- Jun 28, 2018
- Last updated
- May 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT-002266 | AZ | |
| Optometrist | 152W00000X | OD60963014 | WA | Primary |
Addresses
Primary practice location
19389 N 59TH Ave
Glendale, AZ 85308
Mailing address
700 Lilly Rd NE
Olympia, WA 98506-5115
Phone (360) 923-7650
Other practice location 1
5865 W Utopia Rd
Glendale, AZ 85308-5251
Phone (623) 537-6000
Other practice location 2
700 Lilly Rd NE
Olympia, WA 98506-5115
Phone (360) 923-7650
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12100 SE Stevens CT
Suite 106
Portland, OR 97086-4707
Phone (800) 813-2000
14406 NE 20TH Ave
Vancouver, WA 98686-1448
Phone (800) 813-2000
7101 NE 137TH Ave
Vancouver, WA 98682-4933
Phone (800) 813-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4377 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
12100 SE Stevens Ct
Ste 106
Portland, OR 97086
Phone (503) 331-6330
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
700 Lilly Rd NE
Olympia, WA 98506
Phone (360) 923-7000
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Interoperability endpoints
- tzhu232363@ghc.direct-ci.net
Organizations & group practices 6
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- General Practice Physician
- Portland, OR
- NPI 1871848457
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1568957884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 LILLY RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065115",
"telephone_number": "360-923-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19389 N 59TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85308",
"telephone_number": "623-537-6000",
"fax_number": "623-537-6014"
}
],
"practiceLocations": [
{
"address_1": "5865 W Utopia Rd",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853085251",
"country_code": "US",
"telephone_number": "623-537-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Lilly Rd NE",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985065115",
"country_code": "US",
"telephone_number": "360-923-7650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZHU",
"first_name": "TINA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-28",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-002266",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD60963014",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "700 Lilly Rd NE",
"city": "Olympia",
"state": "WA",
"country_code": "US",
"postal_code": "985065115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.