Active NPI
Miklos Balogh, O.D.
- Optometrist
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003388A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 046-008297 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | 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.
-
- Optometrist
- Lebanon, IN
- NPI 1083100424
-
- Optometrist
- Schererville, IN
- NPI 1043779457
-
- Optometrist
- Munster, IN
- NPI 1922974526
-
- Optometrist
- Mason, OH
- NPI 1508903295
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.