Individual provider Active NPI

Xiqiao Ding

  • Optometrist
  • Fort Wayne, IN
National Provider Identifier
1730632985
Registry record updated Jul 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003963A Issued in IN
Practice address
5229 Coldwater Rd
Fort Wayne, IN 46825-5538
Phone
(260) 484-1453
NPI assigned
Jul 24, 2016
Last updated
Jul 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003963A IN Primary

Addresses

Primary practice location

5229 Coldwater Rd
Fort Wayne, IN 46825-5538

Mailing address

5229 Coldwater Rd
Fort Wayne, IN 46825-5538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160822001164 IN Practitioner - Optometry 8527353119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nicolas a Soulier P CGroup PAC ID 0345547782, 5 clinicians

Practice addresses (Care Compare)

5229 Coldwater Rd
Fort Wayne, IN 46825-5538
Phone (260) 484-1453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003963AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicolas a Soulier P C Optometrist CurrentSince Sep 1, 2016 Accepting new patients
Nicolas a Soulier P C Optometrist CurrentSince Sep 1, 2016 Accepting new patients

Locations

5229 Coldwater Rd
Fort Wayne, IN 46825
Phone (260) 484-1453

Organizations & group practices 2

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": "1469318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469318400000",
    "number": "1730632985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5229 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5229 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255538",
            "telephone_number": "260-484-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DING",
        "first_name": "XIQIAO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-24",
        "last_updated": "2016-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003963A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.