Individual provider Active NPI

Wenrong Xu, O.D.

  • Optometrist
  • Frisco, TX
National Provider Identifier
1881831055
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7325TG Issued in TX
Practice address
3245 W Main St Ste 249
Frisco, TX 75034-4412
Phone
(214) 529-6386
NPI assigned
Jan 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7325TG TX Primary

Addresses

Primary practice location

3245 W Main St Ste 249
Frisco, TX 75034-4412

Mailing address

8112 Clayton Dr
Plano, TX 75025-4382
Phone (214) 529-6386

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
I20140929000688 TX Practitioner - Optometry 2163570532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2020 EyedrGroup PAC ID 9537457189, 11 clinicians

Practice addresses (Care Compare)

8687 N Central Expy
Suite 2332
Dallas, TX 75225-4572
Phone (469) 202-4014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7325TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
2020 Eyedr Optometrist CurrentSince Feb 24, 2025 Accepting new patients

Locations

8687 N Central Expy
Ste 2332
Dallas, TX 75225
Phone (214) 691-8649

1251 E Southlake Blvd
Ste 331
Southlake, TX 76092
Phone (817) 310-0289

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1881831055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 CLAYTON DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254382",
            "telephone_number": "214-529-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 W MAIN ST STE 249",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344412",
            "telephone_number": "214-529-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "WENRONG",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7325TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.