Individual provider Active NPI

Larry C Smith, O.D.

  • Optometrist
  • Cedar Park, TX
National Provider Identifier
1841231685
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1887TG Issued in TX
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

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00D14COtherTXBCBS 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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
1887TXMDBehavioral Analyst
1887TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Vision Group, PLLC Optometrist CurrentSince May 1, 2024 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.

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

Verify at the official NPI Registry.