Organization Active NPI

Texas Family Vision Center LLC

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1023793049
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TEXAS FAMILY VISION CENTER LLC
Practice address
3401 Golden Triangle Blvd # 121
Fort Worth, TX 76177-7167
Phone
(817) 290-4959
Fax
(817) 290-4958
NPI assigned
Jun 19, 2023
Last updated
Jun 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Dr. Judy Marie Myers, ODNPI 1265701767
Title
Optometrist
Phone
(817) 937-1725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3401 Golden Triangle Blvd # 121
Fort Worth, TX 76177-7167

Mailing address

3401 Golden Triangle Blvd # 121
Fort Worth, TX 76177-7167
Phone (817) 290-4959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240110003672 TX Part B Supplier - Clinic/Group Practice 8628429941 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

3401 Golden Triangle Blvd
#103
Fort Worth, TX 76177

3401 Golden Triangle Blvd
Ste 121
Fort Worth, TX 76177
Phone (817) 290-4959

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1023793049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 GOLDEN TRIANGLE BLVD # 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777167",
            "telephone_number": "817-290-4959",
            "fax_number": "817-290-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 GOLDEN TRIANGLE BLVD # 121",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777167",
            "telephone_number": "817-290-4959",
            "fax_number": "817-290-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS FAMILY VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "817-937-1725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.