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General NPI Number Information
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NPI Number | 1992885511
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS VISION CENTER P.A.
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 818 W HIGHWAY 82
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City | GAINESVILLE
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State | TX
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Zip | 76240-2524
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Country | US
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Telephone | 940-665-9111
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Fax | 940-665-2508
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Provider Business Mailing Address
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Address Line | 818 W HIGHWAY 82
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City | GAINESVILLE
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State | TX
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Zip | 76240-2524
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Country | US
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Telephone | 940-665-9111
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Fax | 940-665-2508
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD W JOLLY
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Credential | MD
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Telephone | 940-665-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 06706TG
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | L9582
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License Number State | TX
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