NPIMap

Organization Active NPI

Killeen Eye Associates, P.a.

  • Optometrist
  • Killeen, TX
National Provider Identifier
1457594129
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6898TG Issued in TX
Legal business name
KILLEEN EYE ASSOCIATES, P.A.
Practice address
3124 E Central Texas Expy
Killeen, TX 76543-7333
Phone
(254) 690-4733
Fax
(254) 690-6728
NPI assigned
Apr 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Dr. Thomas Allen Lucas Jr., O.D.NPI 1356369458
Title
Owner/President
Phone
(254) 690-4733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6898TG TX Primary

Addresses

Primary practice location

3124 E Central Texas Expy
Killeen, TX 76543-7333

Mailing address

3124 E Central Texas Expy
Killeen, TX 76543-7333
Phone (254) 690-4733

Other names 1

  • First Eye Care Killeen Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090630000575 TX Part B Supplier - Clinic/Group Practice 7416008560 Receives reassigned benefits from 10 practitioners
Practice locations: Killeen, TX

National Provider Directory

National Provider Directory

Locations

2102 S W S Young Dr
Killeen, TX 76543
Phone (254) 690-4733

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1457594129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 E CENTRAL TEXAS EXPY",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765437333",
            "telephone_number": "254-690-4733",
            "fax_number": "254-690-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 E CENTRAL TEXAS EXPY",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765437333",
            "telephone_number": "254-690-4733",
            "fax_number": "254-690-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLEEN EYE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "254-690-4733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6898TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Eye Care Killeen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Eye Care Killeen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.