Individual provider Active NPI

Lacie D. Truitt, O.D.

  • Optometrist
  • Katy, TX
National Provider Identifier
1972881993
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8662TG Issued in TX
Practice address
326 S Mason Rd
Katy, TX 77450-1747
Phone
(281) 392-7010
Fax
(281) 392-6807
NPI assigned
Jul 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1630-663T LA
Optometrist 152W00000X 8662TG TX Primary

Addresses

Primary practice location

326 S Mason Rd
Katy, TX 77450-1747

Mailing address

326 S Mason Rd
Katy, TX 77450-1747
Phone (281) 392-7010

Other identifiers 1

IdentifierTypeStateIssuer
2166522MedicaidLA

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

LicenseStateTypeSpecialty
8662TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
E&C Eyecare Optometrist CurrentSince Nov 16, 2021 Accepting new patients

Locations

326 S Mason Rd
Katy, TX 77450
Phone (281) 392-7010

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1972881993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 S MASON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501747",
            "telephone_number": "281-392-7010",
            "fax_number": "281-392-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S MASON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501747",
            "telephone_number": "281-392-7010",
            "fax_number": "281-392-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUITT",
        "first_name": "LACIE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1630-663T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8662TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2166522",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.