Texoma Retina Center PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

TEXOMA RETINA CENTER PA

Doing business as

Texoma Retina and Glaucoma

Practice address

1303 N Sam Rayburn Fwy # 100
Sherman, TX 75090-5030

Phone

(903) 337-0055

Fax

(903) 337-0060

NPI assigned

Jul 26, 2012

Last updated

Jul 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vijay Khetpal, MDNPI 1538369194

Title

Director

Phone

(903) 337-0055

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• TEXOMA RETINA AND GLAUCOMA Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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.

• Vijay Khetpal, M.D.

  • Ophthalmology Physician
  • Sherman, TX
  • NPI 1538369194
  Medicare reassignment Care Compare group Authorized official
• Rupak K Dhoot, MD

  • Ophthalmology Physician
  • Sherman, TX
  • NPI 1003346081
  Medicare reassignment Care Compare group NPD
• Carroll David Dick, O.D.

  • Optometrist
  • Gainesville, TX
  • NPI 1003898321
  NPD (past)
• Lana Rose Hess, OD

  • Optometrist
  • Gainesville, TX
  • NPI 1265882450
  NPD (past)
• Richard W Jolly, M.D.

  • Ophthalmology Physician
  • Gainesville, TX
  • NPI 1376541169
  NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1285980383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 N SAM RAYBURN FWY # 100",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905030",
            "telephone_number": "903-337-0055",
            "fax_number": "903-337-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N SAM RAYBURN FWY # 100",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905030",
            "telephone_number": "903-337-0055",
            "fax_number": "903-337-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA RETINA CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "KHETPAL",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "903-337-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "TX",
            "license": "P2474",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "TXB162093",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307003901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEXOMA RETINA AND GLAUCOMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texoma Physicians Group, PLLC
• Texoma Quickcare LLC
• Texoma Regional Blood Center
• Texoma Rehabilitaion & Sports Medicine Clinic
• Texoma Rehabilitation & Sports Medicine Clinic (Pat Deligans, PT Texoma Rehabilitation & Sports Medicine Clinic)
• Texoma Signature Dental PC
• Texoma Specialty Counseling PLLC (Dr. Steph Wellness Solutions)
• Texoma Valley Surgery Center LP
• Nilesh S Thakkar, DDS
• The Caring Heart, LLC

• Ophthalmology Physician in Sherman, TX
• Providers in Sherman, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.