Active NPI
SE Cecelia Xiong, O.D.
- Optometrist
- Saint Paul, MN
National Provider Identifier
1184731432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3001
- Practice address
- 941 Payne Ave
Saint Paul, MN 55130-4003 - Phone
- (651) 842-8040
- Fax
- (651) 842-8041
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 3001 | MN | Primary |
Addresses
Primary practice location
941 Payne Ave
Saint Paul, MN 55130-4003
Mailing address
941 Payne Ave
Saint Paul, MN 55130-4003
Phone (651) 842-8031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
941 Payne Ave
Saint Paul, MN 55130-4003
Phone (651) 842-8040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macon County Eye Center PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Saint Paul, MN
- NPI 1376713966
-
- Ophthalmology Physician
- Decatur, IL
- NPI 1932200094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1184731432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 PAYNE AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551304003",
"telephone_number": "651-842-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 PAYNE AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551304003",
"telephone_number": "651-842-8040",
"fax_number": "651-842-8041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIONG",
"first_name": "SE",
"middle_name": "CECELIA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.