Individual provider Active NPI

Jewell Elaine Ginter, O.D.

  • Optometrist
  • Lubbock, TX
National Provider Identifier
1730177312
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3035TG Issued in TX
Practice address
6010 82ND St Ste 200
Lubbock, TX 79424-0822
Phone
(806) 798-8820
Fax
(806) 798-9754
NPI assigned
Oct 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3035TG TX
Pediatric Optometrist 152WP0200X 3035TG TX
Optometrist 152W00000X 3035TG TX Primary

Addresses

Primary practice location

6010 82ND St Ste 200
Lubbock, TX 79424-0822

Mailing address

6010 82ND St Ste 100
Lubbock, TX 79424-0822
Phone (806) 798-8820

Other identifiers 2

IdentifierTypeStateIssuer
019525702MedicaidTX
80844QOtherTXBCBSTX

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
I20100602000741 TX Practitioner - Optometry 6002977030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3035TGTXMDOptometrist

Interoperability endpoints

  • Direct secure messaging: jewellginter@gintereyecare.eyefinity-direct.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1730177312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 82ND ST STE 100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240822",
            "telephone_number": "806-798-8820",
            "fax_number": "806-798-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 82ND ST STE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240822",
            "telephone_number": "806-798-8820",
            "fax_number": "806-798-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINTER",
        "first_name": "JEWELL",
        "middle_name": "ELAINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-08",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "3035TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "3035TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3035TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019525702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "80844Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.