Active NPI
Xijing Xu, O.D.
- Optometrist
- Warner Robins, GA
National Provider Identifier
1043326523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT001734
- Practice address
- 2626 Watson Blvd
Eyeglass World
Warner Robins, GA 31093-2950 - Phone
- (478) 273-6858
- Fax
- (478) 542-5304
- NPI assigned
- Aug 21, 2006
- Last updated
- Apr 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT001734 | GA | Primary |
Addresses
Primary practice location
2626 Watson Blvd
Eyeglass World
Warner Robins, GA 31093-2950
Mailing address
2626 Watson Blvd
Eyeglass World
Warner Robins, GA 31093-2950
Phone (478) 273-6858
Other names 1
- Kevin X Xu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Inc | Optometrist | Current | Accepting new patients |
| King's International Inc. | Optometrist | Current | Accepting new patients |
Locations
2626 Watson Blvd
Warner Robins, GA 31093
Phone (478) 273-6858
2720 Watson Blvd
Warner Robins, GA 31093
Phone (478) 953-9988
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1043326523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 WATSON BLVD",
"address_2": "EYEGLASS WORLD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310932950",
"telephone_number": "478-273-6858",
"fax_number": "478-542-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 WATSON BLVD",
"address_2": "EYEGLASS WORLD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310932950",
"telephone_number": "478-273-6858",
"fax_number": "478-542-5304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XU",
"first_name": "XIJING",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2024-04-05",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT001734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEVIN",
"last_name": "XU",
"middle_name": "X",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.