Active NPI
North Texas Vision Center P.a.
- Ophthalmology Physician
- Gainesville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- L9582
- Legal business name
- NORTH TEXAS VISION CENTER P.A.
- Practice address
- 818 W Highway 82
Gainesville, TX 76240-2524 - Phone
- (940) 665-9111
- Fax
- (940) 665-2508
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard W Jolly, MD
- Title
- Owner
- Phone
- (940) 665-9111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 06706TG | TX | |
| Ophthalmology Physician | 207W00000X | L9582 | TX | Primary |
Addresses
Primary practice location
818 W Highway 82
Gainesville, TX 76240-2524
Mailing address
818 W Highway 82
Gainesville, TX 76240-2524
Phone (940) 665-9111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173227302 | Medicaid | TX | |
| 173227301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2089565 | North Texas Vision Center | Certificate of waiver | Jan 4, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| North Texas Vision Center | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1902 Hospital Blvd
Ste G
Gainesville, TX 76240
Phone (940) 612-8770
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Gainesville, TX
- NPI 1376541169
-
- Optometrist
- Gainesville, TX
- NPI 1265882450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1992885511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 W HIGHWAY 82",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762402524",
"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 HIGHWAY 82",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762402524",
"telephone_number": "940-665-9111",
"fax_number": "940-665-2508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH TEXAS VISION CENTER P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A",
"authorized_official_last_name": "JOLLY",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "940-665-9111",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "06706TG",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "TX",
"license": "L9582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173227302",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173227301",
"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 Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.