NPIMap

Organization Active NPI

Master Eye Associates Optometric Services of Texas PC

Doing business as Seniors Eye Care

  • Optometrist
  • Austin, TX
National Provider Identifier
1639403363
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MASTER EYE ASSOCIATES OPTOMETRIC SERVICES OF TEXAS PC
Doing business as
Seniors Eye Care
Practice address
16306 E Lake Shore Dr
Austin, TX 78734-1132
Phone
(512) 263-0020
Fax
(512) 263-4623
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Dr. Joseph Randall Lacey, O.D.NPI 1962414706
Title
Ceo
Phone
(512) 263-0020

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

16306 E Lake Shore Dr
Austin, TX 78734-1132

Mailing address

16306 E Lake Shore Dr
Austin, TX 78734-1132
Phone (512) 263-0020

Other identifiers 1

IdentifierTypeStateIssuer
1611543-01MedicaidTX

Other names 1

  • Seniors Eye Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1639403363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16306 E LAKE SHORE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787341132",
            "telephone_number": "512-263-0020",
            "fax_number": "512-263-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16306 E LAKE SHORE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787341132",
            "telephone_number": "512-263-0020",
            "fax_number": "512-263-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTER EYE ASSOCIATES OPTOMETRIC SERVICES OF TEXAS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "LACEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-263-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1611543-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seniors Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.