Provider Demographics
NPI:1386957157
Name:ZHU, WEI (OD)
Entity type:Individual
Prefix:
First Name:WEI
Middle Name:
Last Name:ZHU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 WARMINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2376
Mailing Address - Country:US
Mailing Address - Phone:617-304-1090
Mailing Address - Fax:
Practice Address - Street 1:344 BUCKLAND HILLS DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-8700
Practice Address - Country:US
Practice Address - Phone:860-648-1354
Practice Address - Fax:860-648-8931
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2812152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist