Provider Demographics
NPI:1295895399
Name:ELKINS, JEFFREY KEVIN (OD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:KEVIN
Last Name:ELKINS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:24806 TERLINGUA BND
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78261-2726
Mailing Address - Country:US
Mailing Address - Phone:830-895-7858
Mailing Address - Fax:830-895-0003
Practice Address - Street 1:1216 JUNCTION HWY
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-4906
Practice Address - Country:US
Practice Address - Phone:830-895-7858
Practice Address - Fax:830-895-0003
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6580TG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV03550Medicare UPIN