Individual provider Active NPI

Nicholas David Lancaster, M.D.

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1063776102
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R1067 Issued in TX
Practice address
11005 Burnet Rd Ste 120
Austin, TX 78758-4440
Phone
(512) 596-2020
Fax
(512) 596-3937
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036.147341 IL
Ophthalmology Physician 207W00000X 230-320 WI
Ophthalmology Physician 207W00000X 17365 NV
Ophthalmology Physician 207W00000X MD.MD.60854412 WA
Ophthalmology Physician 207W00000X 57249 AZ
Ophthalmology Physician 207W00000X 27903 NE
Ophthalmology Physician 207W00000X M-13902 ID
Ophthalmology Physician 207W00000X 290484 NY
Ophthalmology Physician 207W00000X 10464347 UT
Ophthalmology Physician 207W00000X 11125 SD
Ophthalmology Physician 207W00000X MD22573 ME
Ophthalmology Physician 207W00000X CDR.0000194 CO
Ophthalmology Physician 207W00000X MD-45561 IA
Ophthalmology Physician 207W00000X 26137 MS
Ophthalmology Physician 207W00000X R1067 TX Primary

Addresses

Primary practice location

11005 Burnet Rd Ste 120
Austin, TX 78758-4440

Mailing address

3025 112TH Ave NE Ste 200
Bellevue, WA 98004-8002
Phone (512) 596-2020

Other practice location 1

145 W North Ave
Chicago, IL 60610-1314
Phone (312) 701-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200227000705 TX Practitioner - Ophthalmology 0244667475 Reassigns benefits to 1 organization
I20200311000014 IL Practitioner - Ophthalmology 0244667475 Reassigns benefits to 1 organization
I20240912001655 WA Practitioner - Ophthalmology 0244667475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Washington School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharpevision PLLCGroup PAC ID 5496917791, 11 clinicians

Practice addresses (Care Compare)

11005 Burnet Rd
Suite 120
Austin, TX 78758-4440
Phone (512) 596-2020

145 W N Ave
Chicago, IL 60610-1314
Phone (312) 701-2020

3025 112TH Ave NE
Suite 200
Bellevue, WA 98004-8002
Phone (425) 451-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57249AZMDOphthalmology Physician
CDR.0000194COMDOphthalmology Physician
MD-45561IAMDOphthalmology Physician
M-13902IDMDOphthalmology Physician
036.147341ILMDOphthalmology Physician
MD22573MEMDOphthalmology Physician
26137MSMDOphthalmology Physician
27903NEMDOphthalmology Physician
17365NVMDOphthalmology Physician
290484NYMDOphthalmology Physician
11125SDMDOphthalmology Physician
R1067TXMDOphthalmology Physician
10464347UTMDOphthalmology Physician
MD.MD.60854412WAMDOphthalmology Physician
230-320WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharpevision PLLC Ophthalmology CurrentSince Jan 1, 2020 Accepting new patients
Sharpevision PLLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

145 W North Ave
Chicago, IL 60610
Phone (312) 701-2020

11005 Burnet Rd
Ste 120
Austin, TX 78758
Phone (512) 596-2020

11005 Burnet Rd
Austin, TX 78758

1007 Ranch Road 620 S
Ste 100
Lakeway, TX 78734
Phone (512) 402-9919

1135 116th Ave NE
Ste 450
Bellevue, WA 98004
Phone (425) 289-3130

3025 112th Ave NE
Ste 200
Bellevue, WA 98004
Phone (425) 281-7249

425 SW 41st St
Renton, WA 98057
Phone (425) 226-1190

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1063776102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 112TH AVE NE STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980048002",
            "telephone_number": "512-596-2020",
            "fax_number": "512-596-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 BURNET RD STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584440",
            "telephone_number": "512-596-2020",
            "fax_number": "512-596-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606101314",
            "country_code": "US",
            "telephone_number": "312-701-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "NICHOLAS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.147341",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "230-320",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "17365",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD.MD.60854412",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "57249",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "27903",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "M-13902",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "290484",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "10464347",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SD",
            "license": "11125",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ME",
            "license": "MD22573",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "CDR.0000194",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "MD-45561",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "26137",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "R1067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.