Organization Active NPI

Lakeway Optical LLC

  • Eyewear Supplier
  • Lakeway, TX
National Provider Identifier
1619263589
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
801413996 Issued in TX
Legal business name
LAKEWAY OPTICAL LLC
Practice address
1007 RR 620 S
Suite 100
Lakeway, TX 78734-5634
Phone
(512) 402-9919
Fax
(512) 402-9151
NPI assigned
Jun 20, 2011
Last updated
Jun 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Dr. Corina Stancey, MDNPI 1366445165
Title
Owner
Phone
(512) 402-9919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 801413996 TX Primary

Addresses

Primary practice location

1007 RR 620 S
Suite 100
Lakeway, TX 78734-5634

Mailing address

1007 RR 620 S
Suite 100
Lakeway, TX 78734-5634
Phone (512) 402-9919

National Provider Directory

National Provider Directory

Locations

1007 Ranch Road 620 S
Ste 100
Lakeway, TX 78734
Phone (512) 402-9919

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": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1619263589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 RR 620 S",
            "address_2": "SUITE 100",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345634",
            "telephone_number": "512-402-9919",
            "fax_number": "512-402-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 RR 620 S",
            "address_2": "SUITE 100",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345634",
            "telephone_number": "512-402-9919",
            "fax_number": "512-402-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWAY OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "STANCEY",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-402-9919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "801413996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.