Individual provider Active NPI

Ammon Don Garner, O.D.

  • Optometrist
  • El Paso, TX
National Provider Identifier
1881958619
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8015T Issued in TX
Practice address
3800 N Mesa St
B-1
El Paso, TX 79902-1538
Phone
(915) 533-1811
Fax
(915) 533-3641
NPI assigned
Jun 26, 2012
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8015T TX Primary

Addresses

Primary practice location

3800 N Mesa St
B-1
El Paso, TX 79902-1538

Mailing address

3800 N Mesa St
B-1
El Paso, TX 79902-1538
Phone (915) 533-1811

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
I20120727000604 TX Practitioner - Optometry 2163688656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blair and Ellis P.a.Group PAC ID 9739394891, 6 clinicians

Practice addresses (Care Compare)

3800 N Mesa St
Suite B1
El Paso, TX 79902-1535
Phone (915) 533-1811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8015TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blair and Ellis P.a. Optometrist CurrentSince Jun 25, 2012 Accepting new patients

Locations

11365 Montwood Dr
Ste D
El Paso, TX 79936
Phone (915) 533-1811

3800 N Mesa St
Ste B1
El Paso, TX 79902
Phone (915) 533-1811

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1881958619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N MESA ST",
            "address_2": "B-1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021538",
            "telephone_number": "915-533-1811",
            "fax_number": "915-533-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N MESA ST",
            "address_2": "B-1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021538",
            "telephone_number": "915-533-1811",
            "fax_number": "915-533-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "AMMON",
        "middle_name": "DON",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8015T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.