Individual provider Active NPI

Jeffery Ray Lane, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1285619932
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5522TG Issued in TX
Practice address
5717 Balcones Dr
Austin, TX 78731
Phone
(512) 327-7000
Fax
(512) 314-1660
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5522TG TX Primary

Addresses

Primary practice location

5717 Balcones Dr
Austin, TX 78731

Mailing address

5717 Balcones Dr
Austin, TX 78731-4203
Phone (512) 327-7000

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
I20091208000772 TX Practitioner - Optometry 5597804294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texan Eye, PAGroup PAC ID 2466440458, 18 clinicians

Practice addresses (Care Compare)

5717 Balcones Dr
Austin, TX 78731-4203
Phone (512) 327-7000

Merit-based Incentive Payment System (MIPS)

Final score
86.86 of 100Reported as group
Quality
86.13
Promoting interoperability
89
Improvement activities
40
Cost
79.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5522TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Texan Eye, PA CurrentSince Jan 7, 2024 Accepting new patients
Texan Eye, PA Optometrist CurrentSince Aug 7, 2015 Accepting new patients
Texan Eye, P.a. CurrentSince Aug 7, 2015 Accepting new patients
Eye Clinic of Austin PLLC Optometrist Past Accepting new patients

Locations

5717 Balcones Dr
Austin, TX 78731
Phone (512) 314-1613

7000 N Mopac Expy
Ste 145
Austin, TX 78731

85 Loop 150 W
Bastrop, TX 78602
Phone (512) 303-7300

950 W University Ave
Ste 108
Georgetown, TX 78626
Phone (512) 240-5862

Organizations & group practices 4

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1285619932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314203",
            "telephone_number": "512-327-7000",
            "fax_number": "512-314-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-327-7000",
            "fax_number": "512-314-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JEFFERY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5522TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.