Provider Demographics
NPI:1972355386
Name:ZHOU, SHUO HUI (OD)
Entity Type:Individual
Prefix:
First Name:SHUO
Middle Name:HUI
Last Name:ZHOU
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 1:140 W VALLEY BLVD STE 115
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-3784
Mailing Address - Country:US
Mailing Address - Phone:626-288-8023
Mailing Address - Fax:
Practice Address - Street 1:140 W VALLEY BLVD
Practice Address - Street 2:STE 115
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-3784
Practice Address - Country:US
Practice Address - Phone:626-288-8023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36532152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist