Individual provider Active NPI

Poj-Laim Hu Xiong, O.D.

  • Optometrist
  • West Bend, WI
National Provider Identifier
1902238116
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3318-35 Issued in WI
Practice address
1437 S Main St
West Bend, WI 53095-4931
Phone
(262) 334-1925
NPI assigned
Jul 30, 2013
Last updated
Jul 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3318-35 WI Primary

Addresses

Primary practice location

1437 S Main St
West Bend, WI 53095-4931

Mailing address

2450 W Wells St
Milwaukee, WI 53233-1822
Phone (773) 225-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20150619000872 WI Practitioner - Optometry 2769793512 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3318-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Feb 27, 2017 Accepting new patients
Visionworks, Inc CurrentSince Feb 27, 2017 Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist PastSince Jun 15, 2021 Accepting new patients

Locations

16025 W Bluemound Rd
Brookfield, WI 53005
Phone (262) 785-0490

4800 Golf Rd
Ste 436
Eau Claire, WI 54701
Phone (715) 834-8404

3500 S 27th St
Milwaukee, WI 53221
Phone (414) 817-9100

2500 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 453-2315

1437 S Main St
West Bend, WI 53095
Phone (262) 334-1925

Organizations & group practices 7

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": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1902238116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W WELLS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331822",
            "telephone_number": "773-225-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 S MAIN ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954931",
            "telephone_number": "262-334-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIONG",
        "first_name": "POJ-LAIM",
        "middle_name": "HU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3318-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

Verify at the official NPI Registry.