Active NPI
Larry C Smith, O.D.
- Optometrist
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1887TG
- Practice address
- 715 Discovery Blvd.
Suite 111 BLDG. 1
Cedar Park, TX 78613-2295 - Phone
- (512) 260-2100
- Fax
- (512) 260-2102
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1887TG | TX | Primary |
Addresses
Primary practice location
715 Discovery Blvd.
Suite 111 BLDG. 1
Cedar Park, TX 78613-2295
Mailing address
715 Discovery Blvd.
Suite 111 BLDG. 1
Cedar Park, TX 78613-2295
Phone (512) 260-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00D14C | Other | TX | BCBS TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14005 Research Blvd
Suite 100
Austin, TX 78717-5381
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1887 | TX | MD | Behavioral Analyst |
| 1887TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Vision Group, PLLC | Optometrist | Current | Accepting new patients |
| Dr. Larry Smith & Associates | Optometrist | Past | Accepting new patients |
Locations
14005 Research Blvd
Ste 100
Austin, TX 78717
Phone (512) 257-0013
2601 S Interstate 35
Ste C100
Round Rock, TX 78664
Phone (512) 238-6887
Organizations & group practices 2
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.
-
- Optometrist
- Cedar Park, TX
- NPI 1568566859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273622400000",
"number": "1841231685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 DISCOVERY BLVD.",
"address_2": "SUITE 111 BLDG. 1",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132295",
"telephone_number": "512-260-2100",
"fax_number": "512-260-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 DISCOVERY BLVD.",
"address_2": "SUITE 111 BLDG. 1",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132295",
"telephone_number": "512-260-2100",
"fax_number": "512-260-2102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LARRY",
"middle_name": "C",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2010-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "1887TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TEXAS",
"identifier": "00D14C",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.