Organization Active NPI

Lowes Boulevard Vision

  • Optometrist
  • Killeen, TX
National Provider Identifier
1750993580
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LOWES BOULEVARD VISION
Practice address
1400 Lowes Blvd
Killeen, TX 76542-5201
Phone
(254) 246-8205
Fax
(254) 246-8206
NPI assigned
Aug 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Dr. Thomas Allen Lucas Jr., OD
Title
President
Phone
(254) 690-4733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1400 Lowes Blvd
Killeen, TX 76542-5201

Mailing address

1400 Lowes Blvd
Killeen, TX 76542-5201
Phone (254) 246-8205

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1598054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1750993580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LOWES BLVD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425201",
            "telephone_number": "254-246-8205",
            "fax_number": "254-246-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LOWES BLVD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425201",
            "telephone_number": "254-246-8205",
            "fax_number": "254-246-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWES BOULEVARD VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-22",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-690-4733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "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": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.