Pilot Point Family Eye Care PLLC
Organization Active NPI Optometrist · Pilot Point, TX
NPI 1497326490 · NPPES record last updated Feb 21, 2022
Key facts
- NPI
- 1497326490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- PILOT POINT FAMILY EYE CARE PLLC
- Practice address
- 770 S Highway 377 Ste 201
Pilot Point, TX 76258-4472 - Phone
- (940) 248-9868
- NPI assigned
- Jul 9, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Lisa Marie Smith, OD
- Title
- Optometrist/Owner
- Phone
- (940) 248-9868
Practitioners 1
-
Lisa Marie Smith, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220222001777 | TX | Part B Supplier - Clinic/Group Practice | 4082008859 |
Receives reassigned benefits from 1 practitioner Practice locations: Pilot Point, TX |
National Provider Directory
Locations
770 S Highway 377
Pilot Point, TX 76258
770 S Highway 377
Ste 201
Pilot Point, TX 76258
Phone (940) 248-9868
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
770 S Highway 377 Ste 201
Pilot Point, TX 76258-4472
Mailing address
770 S Highway 377 Ste 201
Pilot Point, TX 76258-4472
Phone (940) 248-9868
Other names
- n/a
Other providers in Pilot Point, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.