Individual provider Active NPI

Carli Lancaster, OD

  • Optometrist
  • Albany, OR
National Provider Identifier
1851676902
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3545ATI Issued in OR
Practice address
2715 Willetta St SW Ste B
Albany, OR 97321-3471
Phone
(541) 926-5848
NPI assigned
Oct 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3545ATI OR Primary

Addresses

Primary practice location

2715 Willetta St SW Ste B
Albany, OR 97321-3471

Mailing address

2715 Willetta St SW Ste B
Albany, OR 97321-3471
Phone (541) 926-5848

Other practice location 1

100 Mullins Dr Ste B3
Lebanon, OR 97355-2868
Phone (541) 451-5808

Other practice location 2

330 NW Elks Dr Ste A
Corvallis, OR 97330-3779
Phone (541) 752-4622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141118000034 OR Practitioner - Optometry 6103048640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates PCGroup PAC ID 0648265470, 17 clinicians

Practice addresses (Care Compare)

227 NW 3Rd St
Corvallis, OR 97330-4801
Phone (541) 757-1120

2400 NW Century Dr
Corvallis, OR 97330-3568
Phone (541) 752-4622

2715 Willetta St SW
Suite B
Albany, OR 97321-3471
Phone (541) 926-5848

2715 Willetta St SW B
Albany, OR 97321-3471

Merit-based Incentive Payment System (MIPS)

Final score
80.37 of 100Reported as group
Quality
68.21
Improvement activities
40
Cost
76.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates PC Optometrist CurrentSince Oct 1, 2014 Accepting new patients
Bridgeport Eye Physicians, LLC Optometrist Past Accepting new patients

Locations

2715 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 926-5848

2715 Willetta St SW
Albany, OR 97321
Phone (541) 926-5848

330 NW Elks Dr
Ste A
Corvallis, OR 97330
Phone (503) 752-4622

2400 NW Century Dr
Corvallis, OR 97330
Phone (541) 752-4622

227 NW 3rd St
Corvallis, OR 97330
Phone (541) 757-1120

100 Mullins Dr
Ste B3
Lebanon, OR 97355
Phone (541) 451-5808

Interoperability endpoints

  • Direct secure messaging: carli.lancaster.p1@direct.eca.nextgenshare.com

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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1851676902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 WILLETTA ST SW STE B",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213471",
            "telephone_number": "541-926-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 WILLETTA ST SW STE B",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213471",
            "telephone_number": "541-926-5848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Mullins Dr Ste B3",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973552868",
            "country_code": "US",
            "telephone_number": "541-451-5808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 NW Elks Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303779",
            "country_code": "US",
            "telephone_number": "541-752-4622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "CARLI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3545ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.