| Doctor Name: | DR. JOSEPH RANDALL LACEY |
| NPI Number: | 1962414706 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.D. |
| License Number: | 2356TG |
| Business Practice Address: | 12700 Hill Country Blvd Suite S-110 Bee Cave, TX - 787386361 |
| Business Phone Number: | 5122630020 |
| Business Fax Number: | 5122634623 |
| Mailing Address: | 16306 E Lake Shore Dr, AUSTIN |
| State: | TX |
| Postal Code: | 787341132 |
| Phone Number: | 5122630020 |
| Fax Number: | 5122634623 |
| NPI Enumeration Date: | 08/12/2006 |
| NPI Last Update Date: | 09/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 2356TG |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |