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JEFFREY XUE OD
NPI 1255806055
Optometrist in Grand Prairie, TX

Active since October 08, 2018PECOS EnrolledAccepts Medicare Assignment
2225 W INTERSTATE 20, GRAND PRAIRIE, TX 75052(972) 602-3937 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 8, 2021, Dec 9, 2019, Dec 10, 2018 and 2 more (5 updates tracked since 2018).

About Jeffrey Xue Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY XUE OD (NPI 1255806055) is an individual optometrist in Grand Prairie, Texas, licensed in Texas (9573T) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Houston - College Of Optometry (2018).

NPPES Registry Identity

NPI1255806055
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJEFFREY XUECredential: OD
Location Address2225 W INTERSTATE 20Grand Prairie, TX 75052-3926
Mailing Address518 Leisure CtCoppell, TX 75019-2533 · (214) 641-9124
Phone(972) 602-3937
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2018
Enumeration DateOctober 8, 2018
Last NPPES UpdateJune 8, 20215 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1255806055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 9573T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2225 W INTERSTATE 20, Grand Prairie, TX 75052
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12412 Irving MallIrving, TX 75062-5100 · Phone (972) 258-2222
Location 21834 Keller Pkwy Ste 100Keller, TX 76248-3761 · Phone (817) 431-4900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Xue Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820333404
PECOS Enrollment IDI20181231001748
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Xue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ht Clarity PLLC
Same address
Optometrist
2225 W INTERSTATE 20
Grand Prairie, TX 75052
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1568086015 (972) 602-3937

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EUGENE CHEN O.D.
Optometrist
2225 W INTERSTATE 20, SUITE A
GRAND PRAIRIE, TX 75052
Dallas County (972) 602-3937
HT CLARITY PLLC
Optometrist
2225 W INTERSTATE 20
GRAND PRAIRIE, TX 75052
Dallas County (972) 602-3937
DR. HUY HUU TRAN OD
Optometrist
2225 W INTERSTATE 20
GRAND PRAIRIE, TX 75052
Dallas County (972) 602-3937
WAL-MART STORES TEXAS, LP
Eyewear Supplier
2225 W INTERSTATE 20
GRAND PRAIRIE, TX 75052
Dallas County (972) 660-4200
WAL-MART STORES TEXAS LLC
Pharmacy (Community/Retail Pharmacy)
2225 W INTERSTATE 20
GRAND PRAIRIE, TX 75052
Dallas County (972) 660-8500
NATIONAL HEARING CENTERS
Audiologist-Hearing Aid Fitter
2225 W INTERSTATE 20
GRAND PRAIRIE, TX 75052
Dallas County (972) 975-2967

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Xue's NPI number?

The NPI number for Jeffrey Xue is 1255806055. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Where is Jeffrey Xue located?

Jeffrey Xue practices at 2225 W Interstate 20, Grand Prairie, TX 75052. The listed phone number is (972) 602-3937.

What is Jeffrey Xue's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jeffrey Xue enrolled in Medicare?

Yes. Jeffrey Xue is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jeffrey Xue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Xue reassigns Medicare benefits to Ht Clarity PLLC (Grand Prairie, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Xue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Xue accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 13 other insurers list Jeffrey Xue as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Xue was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.