Provider Demographics
NPI:1972732147
Name:ZHU, XINSHENG (OD)
Entity type:Individual
Prefix:
First Name:XINSHENG
Middle Name:
Last Name:ZHU
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 1:699 WELLESLEY ST
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-1065
Mailing Address - Country:US
Mailing Address - Phone:617-969-0268
Mailing Address - Fax:617-399-6698
Practice Address - Street 1:67 SUMMER ST
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-3937
Practice Address - Country:US
Practice Address - Phone:617-512-0604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4739152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist