Active NPI
Jeffrey Kevin Elkins, O.D.
- Corneal and Contact Management Optometrist
- Kerrville, TX
National Provider Identifier
1295895399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 6580TG
- Practice address
- 1216 Junction Hwy
Kerrville, TX 78028-4906 - Phone
- (830) 895-7858
- Fax
- (830) 895-0003
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 6580TG | TX | Primary |
Addresses
Primary practice location
1216 Junction Hwy
Kerrville, TX 78028-4906
Mailing address
24806 Terlingua BND
San Antonio, TX 78261-2726
Phone (830) 895-7858
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050201000888 | TX | Practitioner - Optometry | 5294786851 | Practice locations: Kerrville, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6580TG | TX | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1295895399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24806 TERLINGUA BND",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782612726",
"telephone_number": "830-895-7858",
"fax_number": "830-895-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 JUNCTION HWY",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780284906",
"telephone_number": "830-895-7858",
"fax_number": "830-895-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKINS",
"first_name": "JEFFREY",
"middle_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "6580TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.