Organization
MASTER EYE ASSOCIATES OPTOMETRIC SERVICES OF TEXAS PC
Active
Other names
Seniors Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH RANDALL LACEY O.D. (CEO)
(512) 263-0020
Entity
Organization
Contact information
Practice address
16306 E LAKE SHORE DR, AUSTIN, TX 78734-1132
(512) 263-0020
(512) 263-4623
Mailing address
16306 E LAKE SHORE DR, AUSTIN, TX 78734-1132
(512) 263-0020
(512) 263-4623
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1611543-01
—
TX
Enumeration date
09/29/2009
Last updated
09/29/2009
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