Provider Demographics
NPI:1427725001
Name:ZHANG, BETHANY BEI (OD)
Entity type:Individual
Prefix:DR
First Name:BETHANY
Middle Name:BEI
Last Name:ZHANG
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 1:19 PADDOCK CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-1613
Mailing Address - Country:US
Mailing Address - Phone:314-570-7830
Mailing Address - Fax:
Practice Address - Street 1:14676 DELAWARE ST UNIT 400
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80023-9184
Practice Address - Country:US
Practice Address - Phone:720-405-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT.0003735152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist