Individual provider Active NPI

Meng Meng Xu, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1356598080
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA3124 Issued in MD
Practice address
940 Commonwealth Ave
Suite 2
Boston, MA 02215-1203
Phone
(617) 587-5511
Fax
(617) 587-5511
NPI assigned
Aug 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4769 MA
Optometrist 152W00000X TA3124 MD Primary
Optometrist 152W00000X OEG002142 PA

Addresses

Primary practice location

940 Commonwealth Ave
Suite 2
Boston, MA 02215-1203

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 955-5000

Other practice location 1

1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 502-2037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, DC, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20091112000280 MA Practitioner - Optometry 7810063054 Reassigns benefits to 1 organization
I20251201001051 DC Practitioner - Optometry 7810063054 Reassigns benefits to 1 organization
I20251206000184 MD Practitioner - Optometry 7810063054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Montreal - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Boston Community Health CenterGroup PAC ID 2062487291, 57 clinicians
Johns Hopkins UniversityGroup PAC ID 1052223229, 196 clinicians

Practice addresses (Care Compare)

409 W Broadway
South Boston, MA 02127-2245
Phone (617) 269-7500

6430 Rockledge Dr
Bethesda, MD 20817-1805
Phone (240) 482-1100

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4769MAMDRegistered Dietitian
TA3124MDMDOptometrist
OEG002142PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Boston Community Health Center CurrentSince Sep 2, 2009 Accepting new patients
Johns Hopkins University Optometrist CurrentSince Dec 21, 2025 Accepting new patients
Johns Hopkins University Current Accepting new patients
Johns Hopkins University Optometrist CurrentSince Dec 21, 2025 Accepting new patients
New England Eye Institute Inc. Optometrist Past Accepting new patients

Locations

409 W Broadway
South Boston, MA 02127
Phone (617) 269-7500

1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • Direct secure messaging: mxu161061@direct.ochin.org

Organizations & group practices 6

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1356598080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-955-5000",
            "fax_number": "410-500-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 COMMONWEALTH AVE",
            "address_2": "SUITE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151203",
            "telephone_number": "617-587-5511",
            "fax_number": "617-587-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Orleans St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870010",
            "country_code": "US",
            "telephone_number": "410-502-2037",
            "fax_number": "410-955-0737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XU",
        "first_name": "MENG MENG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4769",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA3124",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.