Individual provider Active NPI

Lacey J Honeycutt, O.D.

  • Optometrist
  • Alamosa, CO
National Provider Identifier
1104230937
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3277 Issued in CO
Practice address
216 Victoria Ave
Alamosa, CO 81101-2210
Phone
(719) 631-4110
NPI assigned
Jun 19, 2014
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3277 CO Primary
Optometrist 152W00000X 8437T TX

Addresses

Primary practice location

216 Victoria Ave
Alamosa, CO 81101-2210

Mailing address

216 Victoria Ave
Alamosa, CO 81101-2210
Phone (719) 631-4110

Other practice location 1

4342 Treanor Dr
Abilene, TX 79602-7012
Phone (325) 673-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170818001133 CO Practitioner - Optometry 0749408243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sweet Optics LLCGroup PAC ID 7618380452, 2 clinicians

Practice addresses (Care Compare)

216 Victoria Ave
Alamosa, CO 81101-2210
Phone (719) 937-2247

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8437TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Optics LLC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Jun 9, 2017 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Jun 9, 2017 Accepting new patients

Locations

2101 Main St
Ste D
Alamosa, CO 81101
Phone (719) 589-2020

216 Victoria Ave
Alamosa, CO 81101
Phone (719) 631-4110

1130 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 578-2020

1130 Lake Plaza Dr
Ste 230
Colorado Springs, CO 80906
Phone (719) 219-3819

2041 Pepper Ln
Pueblo, CO 81005
Phone (719) 415-3400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1104230937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 VICTORIA AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012210",
            "telephone_number": "719-631-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 VICTORIA AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012210",
            "telephone_number": "719-631-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4342 Treanor Dr",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796027012",
            "country_code": "US",
            "telephone_number": "325-673-0900",
            "fax_number": "325-677-5061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONEYCUTT",
        "first_name": "LACEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3277",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8437T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

Verify at the official NPI Registry.