Organization Active NPI

Pilot Point Family Eye Care PLLC

  • Optometrist
  • Pilot Point, TX
National Provider Identifier
1497326490
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 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
Last updated
Feb 21, 2022By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Dr. Lisa Marie Smith, ODNPI 1013531060
Title
Optometrist/Owner
Phone
(940) 248-9868

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 Primary

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 1

  • n/a Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220222001777 TX Part B Supplier - Clinic/Group Practice 4082008859 Receives reassigned benefits from 1 practitioner
Practice locations: Pilot Point, TX

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1497326490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 S HIGHWAY 377 STE 201",
            "city": "PILOT POINT",
            "state": "TX",
            "postal_code": "762584472",
            "telephone_number": "940-248-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 S HIGHWAY 377 STE 201",
            "city": "PILOT POINT",
            "state": "TX",
            "postal_code": "762584472",
            "telephone_number": "940-248-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILOT POINT FAMILY EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "940-248-9868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "n/a",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pilot Point, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.