Individual provider Active NPI

Jaclyn Lacy Hutchins, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1285073668
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8246T Issued in TX
Practice address
15900 La Cantera Pkwy
Suite 20215
San Antonio, TX 78256-2422
Phone
(210) 354-2020
Fax
(210) 558-9622
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8246T TX Primary

Addresses

Primary practice location

15900 La Cantera Pkwy
Suite 20215
San Antonio, TX 78256-2422

Mailing address

PO Box 2706
McAllen, TX 78502-2706
Phone (956) 661-9000

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
I20140211000244 TX Practitioner - Optometry 2365671542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Hutchins Family Eye CareGroup PAC ID 1759644016, 2 clinicians

Practice addresses (Care Compare)

21019 US Hwy 281 N
St 832
San Antonio, TX 78258-7605
Phone (210) 490-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8246TXMDGeneral Practice Dentistry
8246TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchins Family Eye Care Optometrist CurrentSince Mar 1, 2018 Accepting new patients
William Justus Head MD PA Past Accepting new patients

Locations

21019 US Highway 281 N
Ste 832
San Antonio, TX 78258
Phone (210) 490-3937

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.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1285073668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2706",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785022706",
            "telephone_number": "956-661-9000",
            "fax_number": "956-630-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY",
            "address_2": "SUITE 20215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562422",
            "telephone_number": "210-354-2020",
            "fax_number": "210-558-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINS",
        "first_name": "JACLYN",
        "middle_name": "LACY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8246T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.