Here on Stack Overflow, we're just using the Simple Registration extension for now, as there were some issues with Attribute Exchange (AX).
The biggest was OpenID Providers (OP) not agreeing on which attribute type urls to use. The finalized spec for AX says that attribute urls should come from http://www.axschema.org/ However, some OPs, especially our favorite http://myopenid.com, recognize other urls. I wasn't going to keep a list of which ones were naughty and which were nice!
The other problem was that most of the OPs I tried just didn't return information when queried with AX - I might have been doing something wrong (happens quite frequently :) ), but I had made relevant details public on my profiles and we're using the latest, most excellent .NET library, DotNetOpenId.
We'll definitely revisit AX here on Stack Overflow when we get a little more time, as a seamless user experience is very important to us!