Individual provider Active NPI

Zhuoran Li, OD

  • Optometrist
  • Saugus, MA
National Provider Identifier
1588211676
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5382 Issued in MA
Practice address
739 Broadway
Saugus, MA 01906-3207
Phone
(781) 231-1097
NPI assigned
Aug 22, 2019
Last updated
Aug 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5382 MA Primary

Addresses

Primary practice location

739 Broadway
Saugus, MA 01906-3207

Mailing address

140 Kenrick St Apt 13
Brighton, MA 02135-3829
Phone (617) 953-7891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20191104000209 MA Practitioner - Optometry 9537491022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Stockwell Dr
Avon, MA 02322-1149
Phone (508) 232-4012

35 Pleasant St
Suite 40
South Weymouth, MA 02190-2312
Phone (781) 337-0674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aa Eyecare LLC Optometrist CurrentSince Aug 21, 2023 Accepting new patients
Amo, Inc/Pearle Vision Past Accepting new patients
Mass Eye Docs Inc Optometrist PastSince Jul 22, 2025 Accepting new patients

Locations

120 Stockwell Dr
Avon, MA 02322
Phone (508) 232-4000

30 Memorial Dr
Avon, MA 02322
Phone (508) 427-4311

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, 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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1588211676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 KENRICK ST APT 13",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353829",
            "telephone_number": "617-953-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 BROADWAY",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063207",
            "telephone_number": "781-231-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "ZHUORAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

Verify at the official NPI Registry.