Organization Active NPI

Tso of Gainesville Inc

  • Optometrist
  • Gainesville, TX
National Provider Identifier
1609828839
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2497TG Issued in TX
Legal business name
TSO OF GAINESVILLE INC
Practice address
311 E California St
Gainesville, TX 76240-4005
Phone
(940) 668-7500
Fax
(940) 665-7377
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Dr. John A Webb Jr., O.D.
Title
Doctor
Phone
(940) 668-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2497TG TX Primary

Addresses

Primary practice location

311 E California St
Gainesville, TX 76240-4005

Mailing address

311 E California St
Gainesville, TX 76240-4005
Phone (940) 668-7500

Other identifiers 2

IdentifierTypeStateIssuer
207866901MedicaidTX
112448901MedicaidTX

National Provider Directory

National Provider Directory

Locations

311 E California St
Gainesville, TX 76240
Phone (940) 668-7254

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1609828839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E CALIFORNIA ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404005",
            "telephone_number": "940-668-7500",
            "fax_number": "940-665-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E CALIFORNIA ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404005",
            "telephone_number": "940-668-7500",
            "fax_number": "940-665-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSO OF GAINESVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "940-668-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2497TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207866901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112448901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.