Lacey Smith Thames, O.D.

Individual provider Active NPI Optometrist · Hutto, TX

NPI 1265729495 · NPPES record last updated Feb 21, 2022

Key facts

NPI
1265729495
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
7736TG (TX)
Practice address
5002 Gattis School Road
Suite 100
Hutto, TX 78634
Phone
(512) 243-7858
Fax
(512) 243-7835
NPI assigned
Jul 8, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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

Medicare Care Compare profile

Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Focus Vision and Eye Care, PLLC (2 clinicians)

Practice addresses (Care Compare)

5002 Gattis School Rd
Suite 100
Hutto, TX 78634-2028
Phone (512) 243-7858

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

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 IDStateProvider typePAC IDDetails
I20111011000383 TX Practitioner - Optometry 6103098439 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
7736TXMDBehavioral Analyst
7736TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Vision & Eye Care, PLLC Optometrist Current
since Mar 7, 2017
Accepting new patients
Sonja M Franklin OD PA Optometrist Past
since Aug 19, 2011
Accepting new patients

Locations

5002 Gattis School Rd
Ste 100
Hutto, TX 78634
Phone (512) 243-7858

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7736TG TX Yes

Addresses

Primary practice location

5002 Gattis School Road
Suite 100
Hutto, TX 78634

Mailing address

5002 Gattis School Road
Suite 100
Hutto, TX 78634
Phone (512) 243-7858

Other names

  • Lacey Smith Former name

Other providers in Hutto, TX

All providers in Hutto, TX · Optometrist in Texas

Sources for this page

Verify at the official NPI Registry.