Individual provider Active NPI

Joshua Patrick Kavanagh, OD

  • Optometrist
  • Dumas, TX
National Provider Identifier
1285514489
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11460 Issued in TX
Practice address
1301 E 1St St
Dumas, TX 79029-3567
Phone
(806) 935-2020
NPI assigned
Sep 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11460 TX Primary

Addresses

Primary practice location

1301 E 1St St
Dumas, TX 79029-3567

Mailing address

1301 E 1St St
Dumas, TX 79029-3567
Phone (806) 935-2020

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
I20250930003504 TX Practitioner - Optometry 4981100898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dumas Vision Source, PLLCGroup PAC ID 9032261037, 2 clinicians

Practice addresses (Care Compare)

1301 E 1St St
Dumas, TX 79029-3567
Phone (806) 935-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11460TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dumas Vision Source, PLLC Optometrist CurrentSince Sep 8, 2025 Accepting new patients
Dumas Vision Source PastSince Sep 8, 2025 Accepting new patients

Locations

1301 E 1st St
Dumas, TX 79029
Phone (806) 935-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1285514489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790293567",
            "telephone_number": "806-935-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790293567",
            "telephone_number": "806-935-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "JOSHUA",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumas, TX

Sources for this page

Verify at the official NPI Registry.