MEDICARE: AMANDA ZHANG OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	36240	CA

General Provider Information

NPI Number	:	1790581171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA ZHANG OD

Provider Business Mailing Address
First Line	:	56 LEEWOOD LOOP
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304-3450
Country	:	US
Telephone Number	:	920-765-1275
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MINOR HALL
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94720-0001
Country	:	US
Telephone Number	:	510-642-2020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	06/04/2026

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Directions to “ AMANDA ZHANG OD” Practice Location

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