Lisa Marie Smith, OD
Individual provider Active NPI Optometrist · Pilot Points, TX
NPI 1013531060 · NPPES record last updated Apr 19, 2022
Key facts
- NPI
- 1013531060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 10095 (TX)
- Practice address
- 770 S Hwy 337
Ste 201
Pilot Points, TX 76258-4472 - Phone
- (940) 248-9868
- Fax
- (940) 248-9869
- NPI assigned
- Jun 5, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
770 S Hwy 377
Suite 201
Pilot Point, TX 76258-4472
Phone (940) 248-9868
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 22 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220222001958 | TX | Practitioner - Optometry | 5991199762 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pilot Point Family Eye Care PLLC | Optometrist | Current |
Accepting new patients |
Locations
770 S Highway 377
Ste 201
Pilot Point, TX 76258
Phone (940) 248-9868
770 S Highway 377
Pilot Point, TX 76258
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10095 | TX | Yes |
Addresses
Primary practice location
770 S Hwy 337
Ste 201
Pilot Points, TX 76258-4472
Mailing address
770 S Hwy 337
Ste 201
Pilot Points, TX 76258-4472
Phone (940) 248-9868
Other practice location 1
1465 County Road 232
Collinsville, TX 76233
Phone (845) 417-4589
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.