Organization Active NPI

North Texas Vision Center P.a.

  • Ophthalmology Physician
  • Gainesville, TX
National Provider Identifier
1992885511
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L9582 Issued in TX
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

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Richard W Jolly, MDNPI 1376541169
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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 06706TG TX
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
173227302MedicaidTX
173227301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050217000964 TX Part B Supplier - Clinic/Group Practice 6901858901 Receives reassigned benefits from 2 practitioners
Practice locations: Gainesville, TX
O20130819000602 TX DME Supplier - Physician - OphthalmologyDME Supplier - Optician 6901858901 Practice locations: Gainesville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2089565North Texas Vision Center818 W Highway 82, Gainesville, TX 76240Certificate of waiverJan 4, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
North Texas Vision Center818W Highway 82, Gainesville, TX 76240-2524(940) 665-9111 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jul 1, 2005

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.