John Nicolau, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M6803 Issued in TX

Practice address

1100 N Main Ave
San Antonio, TX 78212-4712

Phone

(210) 222-2154

Fax

(210) 227-6056

NPI assigned

Jun 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Texas Tech University Health Science Center School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chu Eye Institute, P.a.Group PAC ID 3072762707, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Chu Eye Institute, P.a.

  • Specialist
  • Fort Worth, TX
  • NPI 1740537281
  Medicare reassignment Care Compare group NPD
• Stuart a Terry MD PA

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1558336412
  Medicare reassignment NPD
• 7TH Street Eyeworks, Inc.

  • Optometrist
  • Fort Worth, TX
  • NPI 1730314741
  NPD (past)
• San Antonio Eye Center PA

  • Eyewear Supplier
  • San Antonio, TX
  • NPI 1649239906
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1982808937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 NW MILITARY HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131836",
            "telephone_number": "210-348-8788",
            "fax_number": "210-348-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N MAIN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124712",
            "telephone_number": "210-222-2154",
            "fax_number": "210-227-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAU",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "TX",
            "license": "M6803",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M6803",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "TX",
            "license": "M6803",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1906315-06",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190631507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire E. Nickson, OT
• Oleg Nicolaev, DDS
• Nina Corinne Nicolaides, LPC
• Rochele Marie Nicolas-Wedige, FNP
• Marlo Magsanoc Nicolas, MD
• Guy William Nicolette, MD
• Meher Nicolwala, DO
• Christopher Timothy Nicosia, L.AC
• Nicoya Healthcare, LLC
• Nidal J Badran MD PA

• Ophthalmology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.

Verify at the official NPI Registry.