Individual provider Active NPI

Jessica Lynn Richardson

  • Optometrist
  • Pittsburg, TX
National Provider Identifier
1942514880
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7611T Issued in TX
Practice address
135 Quitman St
Pittsburg, TX 75686-1359
Phone
(903) 856-2055
NPI assigned
Aug 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7611T TX Primary

Addresses

Primary practice location

135 Quitman St
Pittsburg, TX 75686-1359

Mailing address

135 Quitman St
Pittsburg, TX 75686-1359
Phone (903) 856-2055

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
I20120723000555 TX Practitioner - Optometry 1456514314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

135 Quitman St
Pittsburg, TX 75686-1359
Phone (903) 856-2055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7611TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly K Robertson OD PC Optometrist CurrentSince Apr 3, 2012 Accepting new patients
Richardson Family Eyecare OD PC Optometrist CurrentSince Jul 8, 2025 Accepting new patients

Locations

135 Quitman St
Pittsburg, TX 75686
Phone (903) 856-2055

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": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1942514880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 QUITMAN ST",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "756861359",
            "telephone_number": "903-856-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 QUITMAN ST",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "756861359",
            "telephone_number": "903-856-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7611T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, TX

Sources for this page

Verify at the official NPI Registry.