Healthcare Provider Details

I. General information

NPI: 1942166954
Provider Name (Legal Business Name): AMY ZHANG, OD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2026
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 SINGER CT STE 105
CHANTILLY VA
20151-1733
US

IV. Provider business mailing address

14383 NEWBROOK DR STE 300 PMB 424
CHANTILLY VA
20151-4265
US

V. Phone/Fax

Practice location:
  • Phone: 703-783-3992
  • Fax:
Mailing address:
  • Phone: 510-209-8506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State

VIII. Authorized Official

Name: AMY ZHANG
Title or Position: OPTOMETRIST
Credential: OD
Phone: 510-209-8506