Provider Demographics
NPI:1679674576
Name:ZHANG, TRICIA CHUNXIA (OD)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:CHUNXIA
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 1:10824 NEWPORT MILL RD
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-1708
Mailing Address - Country:US
Mailing Address - Phone:301-949-2828
Mailing Address - Fax:301-949-2392
Practice Address - Street 1:3835 FARRAGUT AVE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2004
Practice Address - Country:US
Practice Address - Phone:301-949-2828
Practice Address - Fax:301-949-2392
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000712152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01229981OtherRAILROAD MEDICARE
490088Medicare ID - Type Unspecified