Northwest Indiana Eye & Laser Center PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NORTHWEST INDIANA EYE & LASER CENTER PC

Practice address

851 Eastport Centre Dr
Valparaiso, IN 46383-2909

Phone

(219) 464-8223

Fax

(219) 531-2356

NPI assigned

Nov 17, 2006

Last updated

Nov 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott A Buck, MDNPI 1801856943

Title

President

Phone

(219) 464-8223

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• Direct secure messaging: drbuck@nwieyeandlasercenter.eyefinity-direct.com
• Direct secure messaging: drcarlson@nwieyeandlasercenter.eyefinity-direct.com

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott A Buck, MD

  • Ophthalmology Physician
  • Valparaiso, IN
  • NPI 1801856943
  Medicare reassignment Care Compare group NPD Authorized official
• Richard Scott Carlson, OD

  • Optometrist
  • Valparaiso, IN
  • NPI 1073515938
  Medicare reassignment Care Compare group NPD
• Gregory S Densborn, O.D.

  • Optometrist
  • Logansport, IN
  • NPI 1164451167
  Medicare reassignment Care Compare group NPD
• Ellyn M Lovett, O.D.

  • Optometrist
  • Valparaiso, IN
  • NPI 1558468447
  Medicare reassignment Care Compare group NPD
• David F Ryser, M.D.

  • Ophthalmology Physician
  • Warsaw, IN
  • NPI 1528061363
  Medicare reassignment Care Compare group NPD
• Ricky Lee Weidow, O.D.

  • Optometrist
  • Lagrange, IN
  • NPI 1639177793
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1336212117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 EASTPORT CENTRE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832909",
            "telephone_number": "219-464-8223",
            "fax_number": "219-531-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 EASTPORT CENTRE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832909",
            "telephone_number": "219-464-8223",
            "fax_number": "219-531-2356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 S Edgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Knox",
            "state": "IN",
            "postal_code": "465348226",
            "country_code": "US",
            "telephone_number": "574-772-2012",
            "fax_number": "574-772-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST INDIANA EYE & LASER CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-464-8223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200343240A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers, Inc (Northland Hearing Centers, Inc. dba Hearing Lab)
• Northland Hearing Centers, Inc. (Ascent Hearing Center)
• Northshore Health Centers, Inc.
• Northwest Ambulatory Surgery, LLC (Chandana Surgery Center)
• Northwest Indiana Cardiovascular Physicians, P.C.
• Northwest Indiana Eye Associates, PC (d/b/a Lewyckyj-Taglia- Felton Eye Clinics)
• Northwest Indiana Hand & PT
• Northwest Indiana Hearing Center, Inc. Dba Beltone Hearing Center
• Northwest Indiana Nephrology PC
• Northwest Indiana Occupational Medice Services, LLC (Nioms)

• Ophthalmology Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.