Provider Demographics
NPI:1427779594
Name:ZHOU, ALEX (OD)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:ZHOU
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 COUNTRYSIDE LN APT 7
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1326
Mailing Address - Country:US
Mailing Address - Phone:716-697-8095
Mailing Address - Fax:
Practice Address - Street 1:4934 TRANSIT RD STE 400
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-4666
Practice Address - Country:US
Practice Address - Phone:716-668-1484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009667152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist