Individual provider Active NPI

Jingping Xu, O.D.

  • Optometrist
  • Madison, WI
National Provider Identifier
1083020309
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3345 - 35 Issued in WI
Practice address
750 Hilldale Way
Madison, WI 53705
Phone
(608) 298-6001
NPI assigned
Jul 8, 2014
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3345 - 35 WI Primary

Addresses

Primary practice location

750 Hilldale Way
Madison, WI 53705

Mailing address

750 Hilldale Way
Madison, WI 53705-2644
Phone (608) 298-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180801001782 WI Practitioner - Optometry 6901154319 Reassigns benefits to 1 organization
Practice locations: Madison, WI

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3187 Maple Grove Dr
Madison, WI 53719-5011
Phone (608) 299-9777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3345 - 35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitchburg Family Eye Care LLC Optometrist CurrentSince May 20, 2021 Accepting new patients

Locations

3187 Maple Grove Dr
Madison, WI 53719
Phone (608) 299-9777

Interoperability endpoints

  • Direct secure messaging: jingping.xu@uprisedirect.com

Organizations & group practices 1

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": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1083020309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HILLDALE WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052644",
            "telephone_number": "608-298-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HILLDALE WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53705",
            "telephone_number": "608-298-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "JINGPING",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3345 - 35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.