Jeffrey Xue, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9573T Issued in TX

Practice address

2225 W Interstate 20
Grand Prairie, TX 75052-3926

Phone

(972) 602-3937

NPI assigned

Oct 8, 2018

Last updated

Jun 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HT Clarity PLLCGroup PAC ID 6608292255, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• HT Clarity PLLC

  dba Clarity Eye Care

  • Optometrist
  • Grand Prairie, TX
  • NPI 1568086015
  Medicare reassignment Care Compare group NPD
• Vielma Vision Eyecare

  • Optometrist
  • Irving, TX
  • NPI 1053463331
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1255806055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 LEISURE CT",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192533",
            "telephone_number": "214-641-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 W INTERSTATE 20",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523926",
            "telephone_number": "972-602-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2412 Irving Mall",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750625100",
            "country_code": "US",
            "telephone_number": "972-258-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1834 Keller Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762483761",
            "country_code": "US",
            "telephone_number": "817-431-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XUE",
        "first_name": "JEFFREY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9573T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Work Injury Assistance Center of Texas
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• Charline Vanessa Yanzeu Tsokgna Ngnabeuye
• Lauren Elizabeth Ybanez
• Yes Staffing Solutions, LLC
• Robert Brandon Yocom, PTA

• Optometrist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.

Verify at the official NPI Registry.