Provider Demographics
NPI:1912560319
Name:ZHU, LUCY (OD)
Entity Type:Individual
Prefix:DR
First Name:LUCY
Middle Name:
Last Name:ZHU
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 1:19 BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-1951
Mailing Address - Country:US
Mailing Address - Phone:848-248-3138
Mailing Address - Fax:
Practice Address - Street 1:469 W 125TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4758
Practice Address - Country:US
Practice Address - Phone:848-248-3138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-22
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ146N00000X
NYTUV009029152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic