Active NPI
Garrett Wentz, OD
- Optometrist
- Lubbock, TX
National Provider Identifier
1699294280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9367T
- Practice address
- 4015 84TH St
Lubbock, TX 79423-1913 - Phone
- (806) 798-2020
- NPI assigned
- Sep 14, 2017
- Last updated
- Apr 6, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9367T | TX | Primary |
Addresses
Primary practice location
4015 84TH St
Lubbock, TX 79423-1913
Mailing address
3104 Indiana Ave
Lubbock, TX 79410-3148
Phone (806) 793-1927
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9367T | Other | TX | STATE LICENSE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4015 84TH St
Lubbock, TX 79423-1913
Phone (806) 798-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9367T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentz and Woodrich PLLC | Optometrist | Current | Accepting new patients |
Locations
4015 84th St
Lubbock, TX 79423
Phone (806) 798-2020
Organizations & group practices 1
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": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1699294280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3104 INDIANA AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794103148",
"telephone_number": "806-793-1927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 84TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231913",
"telephone_number": "806-798-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTZ",
"first_name": "GARRETT",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-14",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9367T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "9367T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
- Welltree Physical Therapy LLC
- Marni Saige Wendeborn, FNP
- Kuline Elizabeth Wendling, PHARM. D.
- Wentz and Woodrich PLLC (Wentz and Woodrich Eyecare)
- Edwin Clarence Wentz, D.D.S
- Lisa McDaniel Wentz, D.D.S.
- Parker David Wentz, DDS
- Donald Everett Wesson, M.D.
- West Carlisle Volunteer Fire Department, Inc. (west carlisle Fire/EMS)
- West Texas Allergy, Lubbock, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.