Provider Demographics
NPI:1861864571
Name:ZHANG, TING (OD, FAAO)
Entity Type:Individual
Prefix:
First Name:TING
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:OD, FAAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4985 MOORHEAD AVE UNIT 3718
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-5522
Mailing Address - Country:US
Mailing Address - Phone:720-722-3377
Mailing Address - Fax:720-596-8856
Practice Address - Street 1:5721 LOGAN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-1323
Practice Address - Country:US
Practice Address - Phone:720-773-1665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-21
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT.0003176152W00000X, 152WC0802X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152W00000XEye and Vision Services ProvidersOptometrist