Individual provider Active NPI

Eric Zhang

  • Optometrist
  • Diamond Bar, CA
National Provider Identifier
1982282760
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34965 Issued in CA
Practice address
1111 Grand Ave Ste a
Diamond Bar, CA 91765-2230
Phone
(909) 860-6768
Fax
(909) 860-4224
NPI assigned
Apr 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34965 CA Primary

Addresses

Primary practice location

1111 Grand Ave Ste a
Diamond Bar, CA 91765-2230

Mailing address

1495 Bedford Rd
San Marino, CA 91108-2004
Phone (626) 376-7160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230116000761 CA Practitioner - Optometry 0244601920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne H Martin MD IncGroup PAC ID 0042113375, 3 clinicians
Tina S. Patel, O.D., Professional CorporationGroup PAC ID 6002346707, 2 clinicians

Practice addresses (Care Compare)

1111 Grand Ave
Suite a
Diamond Bar, CA 91765-2230
Phone (909) 860-6768

631 N Broadway
Los Angeles, CA 90012-2801
Phone (213) 680-0404

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
88.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34965CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Judy C. Liao O.D. Inc Optometrist CurrentSince Apr 2, 2025 Accepting new patients
Tina S. Patel, O.D. , Professional Corporation CurrentSince Apr 2, 2025 Accepting new patients
Wayne H. Martin, M.D., Inc. CurrentSince Jan 17, 2023 Accepting new patients

Locations

5343 Riverside Dr
Chino, CA 91710
Phone (909) 364-0308

1111 Grand Ave
Ste A
Diamond Bar, CA 91765
Phone (909) 860-6768

631 N Broadway
Los Angeles, CA 90012
Phone (213) 680-0404

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ezhang@wmartin.intellechartdirect.net

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1982282760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 BEDFORD RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082004",
            "telephone_number": "626-376-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GRAND AVE STE A",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652230",
            "telephone_number": "909-860-6768",
            "fax_number": "909-860-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

Verify at the official NPI Registry.