Lourdes Lorino, O.D.
Individual provider Active NPI Optometrist · Chesterton, IN
NPI 1003877796 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1003877796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 18002818A (IN)
- Practice address
- 528 Indian Boundary Rd
Chesterton, IN 46304-1515 - Phone
- (219) 250-2470
- Fax
- (219) 728-1134
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthlinc Inc
Practice addresses (Care Compare)
420 W 4TH St
Mishawaka, IN 46544-1948
Phone 57430776734693
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050614000959 | IN | Practitioner - Optometry | 1951345602 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002818A | IN | MD | Optometrist |
Practice roles (7 of 14)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current |
Accepting new patients |
| Healthlinc, Inc. | Current |
Accepting new patients | |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current |
Accepting new patients |
| Healthlinc, Inc | Current |
Accepting new patients | |
| Healthlinc, Inc. | Current | Accepting new patients | |
| Merrillville Eye Clinic, Inc | Past | Accepting new patients | |
| 20 20 Eye Specialists PC | Past | Accepting new patients |
Locations
528 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 250-2470
2323 Broadway St
East Chicago, IN 46312
9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200
710 Franklin St
Ste 200
Michigan City, IN 46360
Phone (219) 872-6200
200 Alfred St
Michigan City, IN 46360
Phone (219) 224-2626
420 W 4th St
Mishawaka, IN 46544
Phone (574) 252-0300
1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173
2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Networks
- OH PPO
- KY PPO C-SNP
- IL PPO Downstate
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- IL HMO C-SNP
- KY PPO
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JACADA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002818A | IN | Yes |
Addresses
Primary practice location
528 Indian Boundary Rd
Chesterton, IN 46304-1515
Mailing address
11420 Broadway
Crown Point, IN 46307-7106
Phone (219) 662-0066
Other practice location 1
200 Alfred St
Michigan City, IN 46360
Phone (219) 872-6200
Other practice location 2
11420 Broadway
Crown Point, IN 46307-7106
Phone (219) 662-0066
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200245810B | Medicaid | IN |
Other providers in Chesterton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.