Individual provider Active NPI

Jaime Joel Vela, OD

  • Optometrist
  • Gainesville, TX
National Provider Identifier
1972829646
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04567TG Issued in TX
Practice address
311 E California St
Gainesville, TX 76240-4005
Phone
(940) 668-7500
Fax
(940) 665-7377
NPI assigned
Apr 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 04567TG TX Primary

Addresses

Primary practice location

311 E California St
Gainesville, TX 76240-4005

Mailing address

PO Box 51286
Denton, TX 76206-1286

Other identifiers 2

IdentifierTypeStateIssuer
037401902MedicaidTX
04567TGOtherTXSTATE 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000277 TX Practitioner - Optometry 9739210097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gainesville Eye CareGroup PAC ID 8224319322, 3 clinicians

Practice addresses (Care Compare)

311 E California St
Gainesville, TX 76240-4036
Phone (940) 668-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04567TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Eye Care Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Texas Eye Physicians PA PastSince Jul 12, 2002 Accepting new patients

Locations

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

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1972829646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51286",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762061286"
        },
        {
            "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": {
        "last_name": "VELA",
        "first_name": "JAIME",
        "middle_name": "JOEL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04567TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037401902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "04567TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

Verify at the official NPI Registry.