Active NPI
Joseph Randall Lacey, O.D.
- Optometrist
- Bee Cave, TX
National Provider Identifier
1962414706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2356TG
- Practice address
- 12700 Hill Country Blvd
Suite S-110
Bee Cave, TX 78738-6361 - Phone
- (512) 263-0020
- Fax
- (512) 263-4623
- NPI assigned
- Aug 12, 2006
- Last updated
- Sep 20, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2356TG | TX | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 2356TG | TX |
Addresses
Primary practice location
12700 Hill Country Blvd
Suite S-110
Bee Cave, TX 78738-6361
Mailing address
16306 E Lake Shore Dr
Austin, TX 78734-1132
Phone (512) 263-0020
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2356TG | TX | MD | Corneal and Contact Management Optometrist |
| 2356 | TX | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Master Eye Associates Optometric Services of Texas PC | Optometrist | 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.
-
dba Seniors Eye Care
- Optometrist
- Austin, TX
- NPI 1639403363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1962414706",
"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": "12700 HILL COUNTRY BLVD",
"address_2": "SUITE S-110",
"city": "BEE CAVE",
"state": "TX",
"postal_code": "787386361",
"telephone_number": "512-263-0020",
"fax_number": "512-263-4623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACEY",
"first_name": "JOSEPH",
"middle_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2356TG",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "2356TG",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bee Cave, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.