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DUMAS VISION SOURCE, PLLC
NPI 1013156694
Optometrist in Dumas, TX

Active since February 05, 2009CLIA 45D2047313 · Waiver
1301 E 1ST ST, DUMAS, TX 79029(806) 935-2020(806) 934-9908 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dumas Vision Source, Pllc NPPES

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

DUMAS VISION SOURCE, PLLC (NPI 1013156694) is a healthcare organization registered as an optometrist in Dumas, Texas and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through May 19, 2028 and lists Tory Wayne Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1013156694
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDUMAS VISION SOURCE, PLLC
Location Address1301 E 1ST STDumas, TX 79029-3567
Mailing Address1301 E 1st StDumas, TX 79029-3567 · (806) 935-2020 · Fax (806) 934-9908
Phone(806) 935-2020
Fax(806) 934-9908
Organization SubpartNo
Authorized OfficialTory Wayne MooreOwner · (806) 935-2020
Enumeration DateFebruary 5, 2009
Last NPPES UpdateNovember 8, 2018
✔ NPI 1013156694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 4305TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1301 E 1ST ST, Dumas, TX 79029
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Other Identifiers 3

Medicaid209723001TX
Medicaid19278301TX
Medicaid209723002TX

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 45D2047313

Dumas Vision Source, PLLC · Dumas, TX
Active · expires May 19, 2028
CLIA Number45D2047313
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorTory Moore O.D.
Laboratory Phone(806) 935-2020
Laboratory LocationDumas Vision Source, PLLC1301 E 1st St, Dumas, TX 79029
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Dumas Vision Source, PLLC carries, from the Medicare DMEPOS supplier directory.

Dumas Vision Source, PLLC

DMEPOS supplier · Dumas, TX
✔

Accepts Medicare assignment

Dumas Vision Source, PLLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20551973
Medicare Participant SinceMay 28, 2009
Supplier Location1301 E 1st StDumas, TX 79029
Phone(803) 935-2020
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

MR. JOSHUA PATRICK KAVANAGH OD
Optometrist
1301 E 1ST ST
DUMAS, TX 79029
Moore County (806) 935-2020
DR. TORY W MOORE OD
Optometrist
1301 E 1ST ST
DUMAS, TX 79029
Moore County (806) 935-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dumas Vision Source, PLLC's NPI number?

The NPI number for Dumas Vision Source, PLLC is 1013156694. It was assigned to this organization in the NPPES registry on February 5, 2009.

Where is Dumas Vision Source, PLLC located?

Dumas Vision Source, PLLC is located at 1301 E 1st St, Dumas, TX 79029. The listed phone number is (806) 935-2020.

What is Dumas Vision Source, PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Dumas Vision Source, PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Dumas Vision Source, PLLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Dumas Vision Source, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2047313) is associated with this NPI, valid through May 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dumas Vision Source, PLLC was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.