Individual provider Active NPI

Robert Xiang Li, OD

  • Optometrist
  • Frisco, TX
National Provider Identifier
1659933125
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9746 Issued in TX
Practice address
4880 Eldorado Pkwy Ste 200
Frisco, TX 75033-1229
Phone
(972) 372-0333
NPI assigned
Jul 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9746 TX Primary

Addresses

Primary practice location

4880 Eldorado Pkwy Ste 200
Frisco, TX 75033-1229

Mailing address

2601 Gull Lake Dr
Plano, TX 75025-6539

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
I20200401001674 TX Practitioner - Optometry 0749619476 Reassigns benefits to 1 organization
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9746TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Eye Associates Optometrist CurrentSince Mar 4, 2022 Accepting new patients
Eyemax Family Vision PLLC Optometrist CurrentSince May 21, 2023 Accepting new patients
Eyemax Family Vision PLLC Optometrist PastSince May 21, 2023 Accepting new patients

Locations

3924 North Tarrant Pkwy
Fort Worth, TX 76244
Phone (817) 514-2114

4880 Eldorado Pkwy
Ste 200
Frisco, TX 75033
Phone (972) 372-0333

7638 Stonebrook Pkwy
Frisco, TX 75034
Phone (972) 712-1010

Interoperability endpoints

  • Direct secure messaging: robertli@direct.eyecare-partners.com

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1659933125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 GULL LAKE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750256539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 ELDORADO PKWY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331229",
            "telephone_number": "972-372-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "ROBERT",
        "middle_name": "XIANG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.