Active NPI
Douglas E Lewis, MD
- Ophthalmology Physician
- Austin, TX
National Provider Identifier
1225013980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- H6378
- Practice address
- 1700 S Mo Pac Expy
Austin, TX 78746 - Phone
- (512) 327-7000
- Fax
- (512) 327-5200
- NPI assigned
- Dec 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | H6378 | TX | Primary |
Addresses
Primary practice location
1700 S Mo Pac Expy
Austin, TX 78746
Mailing address
5717 Balcones Dr
Austin, TX 78731-4203
Phone (512) 327-7000
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136907605 | Medicaid | TX | |
| TX6378 | Other | OH | EYEMED |
| 10014255 | Other | TX | AMERIGROUP |
| 117784100 | Other | FIRST CARE | |
| 136907601 | Medicaid | TX | |
| 32951-005 | Other | NY | DAVIS VISION |
| 3356952 | Other | TX | BLUELINK |
| 4379838 | Other | TX | AETNA |
| 80363S | Other | TX | BLUE CROSS BLUE SHIELD |
| 915420 | Other | TX | BLOCK VISION |
| VP12836 | Other | GE WELLNESS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.86 of 100
- Quality
- 86.13
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 79.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H6378 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texan Eye, P.a. | Current | Accepting new patients | |
| Texan Eye, PA | Ophthalmology | Current | Accepting new patients |
| Eye Clinic of Austin PLLC | Ophthalmology | Past | Accepting new patients |
Locations
5717 Balcones Dr
Austin, TX 78731
Phone (512) 314-1613
85 Loop 150 W
Bastrop, TX 78602
Phone (512) 303-7300
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Austin, TX
- NPI 1205813961
-
- Eyewear Supplier
- Cedar Park, TX
- NPI 1053773127
-
- Ophthalmology Physician
- Austin, TX
- NPI 1023363926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1225013980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5717 BALCONES DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314203",
"telephone_number": "512-327-7000",
"fax_number": "512-314-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S MO PAC EXPY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-327-7000",
"fax_number": "512-327-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "DOUGLAS",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "H6378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136907605",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "TX6378",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10014255",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CARE",
"identifier": "117784100",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136907601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "32951-005",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUELINK",
"identifier": "3356952",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4379838",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "80363S",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLOCK VISION",
"identifier": "915420",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GE WELLNESS",
"identifier": "VP12836",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.