Individual provider Active NPI

Lacey Smith Thames, O.D.

  • Optometrist
  • Hutto, TX
National Provider Identifier
1265729495
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7736TG Issued in 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
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

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

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 1

  • Lacey Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20111011000383 TX Practitioner - Optometry 6103098439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Focus Vision and Eye Care, PLLCGroup PAC ID 8820373558, 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7736TXMDBehavioral Analyst
7736TGTXMDOptometrist

Practice roles

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

Locations

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

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, 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": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1265729495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 GATTIS SCHOOL ROAD",
            "address_2": "SUITE 100",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "78634",
            "telephone_number": "512-243-7858",
            "fax_number": "512-243-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 GATTIS SCHOOL ROAD",
            "address_2": "SUITE 100",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "78634",
            "telephone_number": "512-243-7858",
            "fax_number": "512-243-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMES",
        "first_name": "LACEY",
        "middle_name": "SMITH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7736TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hutto, TX

Sources for this page

Verify at the official NPI Registry.