Gainesville Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

7165TG Issued in TX

Legal business name

GAINESVILLE EYE CARE

Doing business as

Texas State Optical

Practice address

311 E California St
Gainesville, TX 76240-4036

Phone

(940) 668-7254

NPI assigned

Jul 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Warren, O.D.NPI 1023203981

Title

OD / Owner

Phone

(940) 218-8180

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Texas State Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

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

• Andrew Warren, O.D.

  • Optometrist
  • Kyle, TX
  • NPI 1023203981
  Medicare reassignment Care Compare group NPD Authorized official
• Jaime Joel Vela, OD

  • Optometrist
  • Gainesville, TX
  • NPI 1972829646
  Medicare reassignment Care Compare group NPD
• Kasey Warren, O.D.

  • Optometrist
  • Kyle, TX
  • NPI 1003001298
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1861845307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9499 CULP BRANCH RD",
            "city": "SANGER",
            "state": "TX",
            "postal_code": "762666975",
            "telephone_number": "940-218-8180"
        },
        {
            "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": "762404036",
            "telephone_number": "940-668-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OD / OWNER",
        "authorized_official_telephone_number": "940-218-8180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7165TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196451202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "7109TG",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196450402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "8F7640",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "7165TG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "8F6739",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas State Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gainesville Community Hospital, Inc. (NTMC Health Complete Care)
• Gainesville Community Hospital, Inc. (NTMC Specialty Group)
• Gainesville Community Hospital, Inc. (North Texas Medical Center)
• Gainesville Community Hospital, Inc. (North Texas Medical Center)
• Gainesville Dental PLLC
• Gainesville Family Dentistry, PC
• Gainesville Family Medicine PLLC
• Gainesville Health Care Center LTD. Co (Renaissance Care Center)
• Gainesville Hospital District
• Gainesville Hospital District (NTMC Occupational Medicine Clinic)

• Optometrist in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.