Individual provider Active NPI

Miklos Balogh, O.D.

  • Optometrist
  • Merrillville, IN
National Provider Identifier
1245300060
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003388A Issued in IN
Practice address
279 W 80TH PL
Merrillville, IN 46410-5491
Phone
(219) 738-2180
Fax
(219) 738-2847
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-008297 IL
Optometrist 152W00000X 18003388A IN Primary

Addresses

Primary practice location

279 W 80TH PL
Merrillville, IN 46410-5491

Mailing address

1123 Stommel PL
Unit #2
Dyer, IN 46311-1658
Phone (773) 297-7602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070426000468 IL Practitioner - Optometry 3375649031 Practice locations: Chicago, IL
I20190508003409 IN Practitioner - Optometry 3375649031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Indiana LLCGroup PAC ID 5496091316, 82 clinicians

Practice addresses (Care Compare)

1525 US Hwy 41
Schererville, IN 46375-1353
Phone (219) 322-5205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008297ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince May 13, 2019 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince May 13, 2019 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Cole Vision Corporation Optometrist Past Accepting new patients

Locations

528 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 250-2470

1184 N Main St
Crown Point, IN 46307
Phone (219) 226-9571

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

422 Perry St
La Porte, IN 46350
Phone (219) 325-0404

279 W 80th Pl
Merrillville, IN 46410
Phone (219) 738-2180

6097 US Highway 6
Portage, IN 46368
Phone (219) 730-4559

1525 US Highway 41
Schererville, IN 46375
Phone (219) 322-5205

2106 Calumet Ave
Valparaiso, IN 46383
Phone (219) 464-8200

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 4

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1245300060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 STOMMEL PL",
            "address_2": "UNIT #2",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111658",
            "telephone_number": "773-297-7602",
            "fax_number": "773-685-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 W 80TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105491",
            "telephone_number": "219-738-2180",
            "fax_number": "219-738-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOGH",
        "first_name": "MIKLOS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008297",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003388A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.