Individual provider Active NPI

Haoxing Jin, M.D.

  • Ophthalmology Physician
  • Lubbock, TX
National Provider Identifier
1750822177
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD-48220 Issued in IA
Practice address
12210 Quaker Ave
Lubbock, TX 79424-7789
Phone
(806) 792-5900
NPI assigned
Mar 17, 2017
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 34027 OK
Retina Specialist (Ophthalmology) Physician 207WX0107X MD-48220 IA
Ophthalmology Physician 207W00000X MD-48220 IA Primary

Addresses

Primary practice location

12210 Quaker Ave
Lubbock, TX 79424-7789

Mailing address

63 S Rockford Dr Ste 220
Tempe, AZ 85288-6226
Phone (602) 955-1000

Other practice location 1

4077 Fifth Ave # Mer35
San Diego, CA 92103-2105
Phone (832) 459-4403

Other practice location 2

608 Stanton L Young Blvd # 509
Oklahoma City, OK 73104-5014
Phone (405) 271-7816

Other practice location 3

105 E 9th St
Coralville, IA 52241-2209
Phone (855) 467-3700

Other names 1

  • Dr. Douglas Jin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230714003321 WA Practitioner - Ophthalmology 3274883947 Reassigns benefits to 1 organization
I20240723003462 TX Practitioner - Ophthalmology 3274883947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Texas Eye PAGroup PAC ID 5294782389, 23 clinicians

Practice addresses (Care Compare)

12210 Quaker Ave
Lubbock, TX 79424-7789
Phone (806) 792-5900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34027OKMDOphthalmology Physician
MD-48220IAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Eye PA CurrentSince Aug 1, 2024 Accepting new patients
West Texas Eye PA Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
Northwest Washington Eye Specialists Ophthalmology CurrentSince Jul 3, 2023 Accepting new patients

Locations

63 S Rockford Dr
Ste 220
Tempe, AZ 85288

12210 Quaker Ave
Lubbock, TX 79424
Phone (806) 412-5165

3611 50th St
Lubbock, TX 79413
Phone (806) 792-5900

5109 80th St
Lubbock, TX 79424
Phone (806) 792-5900

805 W Wadley Ave
Midland, TX 79705
Phone (806) 792-5900

1724 W Marine View Dr
Everett, WA 98201
Phone (425) 252-2333

1724 W Marine View Dr
Ste 130
Everett, WA 98201
Phone (425) 252-2333

Interoperability endpoints

  • Direct secure messaging: douglas.jin.p30@direct.avp.nextgenshare.com

Organizations & group practices 3

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": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1750822177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 S ROCKFORD DR STE 220",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852886226",
            "telephone_number": "602-955-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12210 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247789",
            "telephone_number": "806-792-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4077 Fifth Ave # Mer35",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032105",
            "country_code": "US",
            "telephone_number": "832-459-4403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "608 Stanton L Young Blvd # 509",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045014",
            "country_code": "US",
            "telephone_number": "405-271-7816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 E 9th St",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522412209",
            "country_code": "US",
            "telephone_number": "855-467-3700",
            "fax_number": "319-467-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIN",
        "first_name": "HAOXING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-17",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "34027",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IA",
            "license": "MD-48220",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "MD-48220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOUGLAS",
            "last_name": "JIN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.