Shang Xu, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006771-1 Issued in NY

Practice address

120 Crossgates Mall Road
#L104
Albany, NY 12203-5385

Phone

(518) 869-8578

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851441869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ELAINE CT",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103726",
            "telephone_number": "518-785-7376",
            "fax_number": "518-785-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CROSSGATES MALL ROAD",
            "address_2": "#L104",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035385",
            "telephone_number": "518-869-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "SHANG",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006771-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmund Ying-Peng Wun, D.D.S.
• Derrick R. Wurl, M.D.
• Diane Marie Wyatt, LMSW
• Daniel James Wyman
• Anila Xhavo
• Shuang Jin Xu, L.AC
• Annie Chen Ya Winkler
• Deborah Happ Yablon, NPP
• Elizabeth Yagaza
• Jane M. Yager, CRNA

• Optometrist in Albany, NY
• Providers in Albany, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.