NORTH TEXAS OPHTHALMOLOGY ASSOCIATES
NPI 1003909532
Specialist in Wichita Falls, TX

Q: What is Phillip W. Kelly, MD, PA's NPI number?

The NPI number for Phillip W. Kelly, MD, PA is 1003909532. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as North Texas Ophthalmology Associates.

Q: What is Phillip W. Kelly, MD, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 02, 2006CLIA 45D0965032 · Waiver

1704 11TH ST, WICHITA FALLS, TX 76301(940) 723-1274(940) 723-1525 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About North Texas Ophthalmology Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH TEXAS OPHTHALMOLOGY ASSOCIATES (NPI 1003909532) is a healthcare organization registered as a specialist in Wichita Falls, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Phillip W. Kelly, President, as its authorized official.

NPPES Registry Identity

NPI1003909532

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePHILLIP W. KELLY, MD, PA

Location Address1704 11TH STWichita Falls, TX 76301-5020

Mailing AddressPo Box 8169Wichita Falls, TX 76307-8169 · (940) 723-1274 · Fax (940) 723-1525

Phone(940) 723-1274

Fax(940) 723-1525

Organization SubpartNo

Authorized OfficialPhillip W. KellyPresident · (940) 723-1274

Enumeration DateOctober 2, 2006

Last NPPES UpdateFebruary 7, 2008

✔ NPI 1003909532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1704 11TH ST, Wichita Falls, TX 76301

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Other Names 1

Doing Business AsNorth Texas Ophthalmology Associates

Other Identifiers 2

Medicare NSC0877580001TX

Medicare ID-Type Unspecified00F76LTX · Electronic Medicare Numbe

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0965032

North Texas Ophthalmology Associates · Wichita Falls, TX

Active · expires Sep 8, 2027

CLIA Number45D0965032

Laboratory TypePhysician Office

Certificate Effective DateSeptember 9, 2025

Certificate Expiration DateSeptember 8, 2027

Laboratory DirectorPhillip W. Kelly

Laboratory Phone(940) 723-1274

Laboratory LocationNorth Texas Ophthalmology Associates1704 Eleventh Street, Wichita Falls, TX 76301

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES BLAKE AVERA M.D.

Ophthalmology