Individual provider Active NPI

Christian Cross, OD

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1417659855
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10830 Issued in TX
Practice address
109 Carroll St Ste 111
Fort Worth, TX 76107-2068
Phone
(817) 646-3449
Fax
(817) 549-4503
NPI assigned
Mar 20, 2023
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10830 TX Primary

Addresses

Primary practice location

109 Carroll St Ste 111
Fort Worth, TX 76107-2068

Mailing address

109 Carroll St Ste 111
Fort Worth, TX 76107-2068
Phone (817) 646-3449

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
I20230510000821 TX Practitioner - Optometry 3971969312 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cross Soriano Optometry PartnershipGroup PAC ID 7517468424, 2 clinicians
Hayley Eye Clinic PCGroup PAC ID 8921150343, 7 clinicians

Practice addresses (Care Compare)

109 Carroll St
Suite 111
Fort Worth, TX 76107-2068
Phone (817) 646-3449

1901 Kemp Blvd
Wichita Falls, TX 76309-3959
Phone (940) 723-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hayley Eye Clinic PC Optometrist CurrentSince Dec 23, 2025 Accepting new patients
Cross Soriano Optometry Partnership Optometrist CurrentSince Aug 8, 2025 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 27, 2023 Accepting new patients
Hayley Eye Clinic, P.C. Optometrist CurrentSince Dec 23, 2025 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 27, 2023 Accepting new patients

Locations

109 Carroll St
Ste 111
Fort Worth, TX 76107
Phone (817) 646-3449

3000 S Hulen St
Ste 104
Fort Worth, TX 76109
Phone (817) 738-2027

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

1901 Kemp Blvd
Wichita Falls, TX 76309
Phone (940) 723-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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, 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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1417659855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CARROLL ST STE 111",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072068",
            "telephone_number": "817-646-3449",
            "fax_number": "817-549-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CARROLL ST STE 111",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072068",
            "telephone_number": "817-646-3449",
            "fax_number": "817-549-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "CHRISTIAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.