Organization Active NPI

G Wonette Owen Or Aly Gwinn

  • Eyewear Supplier
  • Lubbock, TX
National Provider Identifier
1902096621
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
G WONETTE OWEN OR ALY GWINN
Practice address
2811 S Loop 289
Lubbock, TX 79423-1488
Phone
(806) 745-7999
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Larisa D Rogers
Title
Owner
Phone
(806) 745-7999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2811 S Loop 289
Lubbock, TX 79423-1488

Mailing address

2811 S Loop 289
Lubbock, TX 79423-1488
Phone (806) 745-7999

National Provider Directory

National Provider Directory

Locations

2811 S Loop 289
Lubbock, TX 79423
Phone (806) 745-7999

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1902096621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 S LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231488",
            "telephone_number": "806-745-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 S LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231488",
            "telephone_number": "806-745-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G WONETTE OWEN OR ALY GWINN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "LARISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-745-7999"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.