Individual provider Active NPI

Judy Jane Xu, OD

  • Optometrist
  • Carrollton, TX
National Provider Identifier
1306735576
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11463TG Issued in TX
Practice address
1920 Parker Rd
Carrollton, TX 75010-4859
Phone
(972) 939-5367
NPI assigned
Jul 1, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11463TG TX Primary

Addresses

Primary practice location

1920 Parker Rd
Carrollton, TX 75010-4859

Mailing address

1920 Parker Rd Ste 120
Carrollton, TX 75010-4864

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721001021 TX Practitioner - Optometry 8820504525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farah Hassam LLCGroup PAC ID 7416234729, 3 clinicians

Practice addresses (Care Compare)

8055 Churchill Way
See Clear Eye Care
Dallas, TX 75251-2149
Phone (469) 680-7561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11463TXMDChiropractor
11463TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Omnivision Eye Care Professional Corporation Optometrist CurrentSince Jul 10, 2025 Accepting new patients
Lighthouse Eye Care, P.a. Optometrist CurrentSince Aug 21, 2025 Accepting new patients

Locations

1920 Parker Rd
Ste 120
Carrollton, TX 75010
Phone (972) 939-5367

4112 N Josey Ln
Ste 112
Carrollton, TX 75007
Phone (972) 939-5367

8080 Independence Pkwy
Ste 100
Plano, TX 75025
Phone (214) 383-9360

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.

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1306735576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 PARKER RD STE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 PARKER RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104859",
            "telephone_number": "972-939-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "JUDY",
        "middle_name": "JANE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11463TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.