Individual provider Active NPI

Jarren Bill Ray, O.D.

  • Optometrist
  • Lubbock, TX
National Provider Identifier
1427208339
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7292TG Issued in TX
Practice address
5602 Slide Rd
Lubbock, TX 79414-4105
Phone
(806) 784-0409
Fax
(806) 784-0415
NPI assigned
Sep 27, 2008
Last updated
May 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7292TG TX Primary
Optometrist 152W00000X 594 NM

Addresses

Primary practice location

5602 Slide Rd
Lubbock, TX 79414-4105

Mailing address

3702 34TH St
Lubbock, TX 79410-2836
Phone (806) 473-9198

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
I20090612000513 TX Practitioner - Optometry 1759431752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6020 34TH St
Lubbock, TX 79407-3228
Phone (806) 781-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
594NMMDChiropractor
7292TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foresight Eye Care PLLC Optometrist CurrentSince Jul 1, 2015 Accepting new patients
Lubbock Ophthalmology Associate, P.a. PastSince Nov 1, 2004 Accepting new patients

Locations

10303 Indiana Ave
Ste 400142
Lubbock, TX 79423

3410 98th St
Ste 4142
Lubbock, TX 79423

6020 34th St
Lubbock, TX 79407
Phone (806) 784-1460

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, 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": "1222473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1427208339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102836",
            "telephone_number": "806-473-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144105",
            "telephone_number": "806-784-0409",
            "fax_number": "806-784-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "JARREN",
        "middle_name": "BILL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-27",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7292TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.