Individual
JEWELL ELAINE GINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6010 82ND ST STE 200, LUBBOCK, TX 79424-0822
(806) 798-8820
(806) 798-9754
Mailing address
6010 82ND ST STE 100, LUBBOCK, TX 79424-0822
(806) 798-8820
(806) 798-9754
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3035TG
TX
152WC0802X
Corneal and Contact Management Optometrist
3035TG
TX
152WP0200X
Pediatric Optometrist
3035TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019525702
—
TX
01
—
80844Q
BCBSTX
TX
Enumeration date
10/08/2005
Last updated
02/12/2024
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