Individual provider Active NPI

Lixin Zhang, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1659055424
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5659 Issued in MA
Practice address
424 Beacon St
Boston, MA 02115-1129
Phone
(617) 266-2030
NPI assigned
Jun 13, 2023
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5659 MA Primary

Addresses

Primary practice location

424 Beacon St
Boston, MA 02115-1129

Mailing address

424 Beacon St
Boston, MA 02115-1129

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
I20240123002427 MA Practitioner - Optometry 8224480421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mall Vision Center LLCGroup PAC ID 9830453554, 2 clinicians

Practice addresses (Care Compare)

113 Corporation St
Hyannis, MA 02601-2204
Phone (508) 778-9473

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5659MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mall Vision Center, LLC CurrentSince Nov 20, 2023 Accepting new patients
Barnstable Eye PC Optometrist PastSince Nov 20, 2023 Accepting new patients

Locations

113 Corporation St
Hyannis, MA 02601
Phone (508) 778-6432

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": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1659055424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151129",
            "telephone_number": "617-266-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "LIXIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-13",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.