Individual provider Active NPI

Xavier L Gregorio, OD

  • Optometrist
  • Webster, TX
National Provider Identifier
1013390079
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8738 Issued in TX
Practice address
1310 Jasmine Ave Ste B
Webster, TX 77598-3402
Phone
(281) 707-7765
Fax
(281) 707-7766
NPI assigned
Jul 8, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refined Sight 2 clinicians

Practice addresses (Care Compare)

1310 Jasmine Ave
Suite B
Webster, TX 77598-3402
Phone (281) 707-7765

5822 Sienna Pkwy
Suite 700
Missouri City, TX 77459-7355
Phone (832) 342-9812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20161019001586 TX Practitioner - Optometry 9133417470 Reassigns benefits to 2 organizations
Practice locations: Webster, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8738TXMDChiropractor

Practice roles (3 of 6)

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Apr 2, 2024 Accepting new patients
Refined Sight Optometrist CurrentSince Jan 12, 2025 Accepting new patients
4 Eyes PLLC Optometrist CurrentSince Jan 22, 2025 Accepting new patients

Locations

19623 Highway 59 N
Humble, TX 77338
Phone (281) 446-0103

5822 Sienna Pkwy
Ste 700
Missouri City, TX 77459
Phone (832) 342-9812

21195 Kuykendahl Rd
Spring, TX 77379
Phone (281) 370-4444

1310 Jasmine Ave
Ste B
Webster, TX 77598
Phone (281) 707-7765

Networks

  • TX HMO D-SNP
  • NM HMO C-SNP
  • TX HMO

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8738 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

1310 Jasmine Ave Ste B
Webster, TX 77598-3402

Mailing address

1310 Jasmine Ave Ste B
Webster, TX 77598-3402
Phone (281) 707-7765

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2024.

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1013390079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 JASMINE AVE STE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983402",
            "telephone_number": "281-707-7765",
            "fax_number": "281-707-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 JASMINE AVE STE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775983402",
            "telephone_number": "281-707-7765",
            "fax_number": "281-707-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORIO",
        "first_name": "XAVIER",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2024-06-12",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.