Individual provider Active NPI

Richard W Jolly, M.D.

  • Ophthalmology Physician
  • Gainesville, TX
National Provider Identifier
1376541169
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L9582 Issued in TX
Practice address
818 W Hwy 82
Gainesville, TX 76240-2007
Phone
(940) 665-9111
Fax
(940) 665-2508
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X L9582 TX Primary

Addresses

Primary practice location

818 W Hwy 82
Gainesville, TX 76240-2007

Mailing address

818 W Hwy 82
Gainesville, TX 76240-2007
Phone (940) 665-9111

Other identifiers 3

IdentifierTypeStateIssuer
X0138558OtherDPS
173229901MedicaidTX
L9582OtherTXSTATE LICENSE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050225000155 TX Practitioner - Ophthalmology 9638121635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Vision Center P.a.Group PAC ID 6901858901, 2 clinicians

Practice addresses (Care Compare)

818 W Hwy 82
Gainesville, TX 76240-2524
Phone (940) 665-9111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L9582TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Vision Center P.a. Ophthalmology CurrentSince Dec 15, 2004 Accepting new patients
Texoma Retina Center PA Ophthalmology PastSince Jul 1, 2005 Accepting new patients

Locations

818 W Highway 82
Gainesville, TX 76240
Phone (940) 665-9111

Interoperability endpoints

  • Direct secure messaging: rjolly@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1376541169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W HWY 82",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402007",
            "telephone_number": "940-665-9111",
            "fax_number": "940-665-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W HWY 82",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402007",
            "telephone_number": "940-665-9111",
            "fax_number": "940-665-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L9582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "X0138558",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173229901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "L9582",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

Verify at the official NPI Registry.