Active NPI
Jacques Soares Lace, OPTICIAN
- Optician
- Plano, TX
National Provider Identifier
1689998171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 3131 Custer Rd
S/ 155
Plano, TX 75075-4419 - Phone
- (469) 229-0341
- Fax
- (469) 467-2459
- NPI assigned
- Mar 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
3131 Custer Rd
S/ 155
Plano, TX 75075-4419
Mailing address
3131 Custer Rd
S/ 155
Plano, TX 75075-4419
Phone (469) 229-0341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jcques Family Optical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Eyewear Supplier
- Plano, TX
- NPI 1275857765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269561600000",
"number": "1689998171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 CUSTER RD",
"address_2": "S/ 155",
"city": "PLANO",
"state": "TX",
"postal_code": "750754419",
"telephone_number": "469-229-0341",
"fax_number": "469-467-2459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 CUSTER RD",
"address_2": "S/ 155",
"city": "PLANO",
"state": "TX",
"postal_code": "750754419",
"telephone_number": "469-229-0341",
"fax_number": "469-467-2459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACE",
"first_name": "JACQUES",
"middle_name": "SOARES",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-26",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.