Provider Demographics
NPI:1699850214
Name:ZHANG, RICHARD YILIN (OD, PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:YILIN
Last Name:ZHANG
Suffix:
Gender:M
Credentials:OD, PHD
Other - Prefix:
Other - First Name:YILIN
Other - Middle Name:R
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD PHD
Mailing Address - Street 1:16 CLARKE ST
Mailing Address - Street 2:B2
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421
Mailing Address - Country:US
Mailing Address - Phone:781-676-2020
Mailing Address - Fax:781-676-2021
Practice Address - Street 1:16 CLARKE ST
Practice Address - Street 2:B2
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421
Practice Address - Country:US
Practice Address - Phone:781-676-2020
Practice Address - Fax:781-676-2021
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0673152W00000X
MA4116152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA22-04131OtherUNITED HEALTH CARE
806550OtherCIGNA
MA971342OtherNETWORK HEALTH
MAAA2096OtherHARVARD PILGRIM HEALTH CA
MA0024967OtherNEIGHBORHOOD HELATH PLAN
MAW16194OtherMCMS (MA)
NH2676542OtherAETNA
NH31167OtherAVESIS
NHZH1327315OtherCLARITY VISION
NH09Y004242NH01OtherANTHEM BCBS
MA0317420Medicaid
MAW16194OtherMCMS (MA)
NH09Y004242NH01OtherANTHEM BCBS
NHRE5199Medicare ID - Type Unspecified