Caterina A Komyatte, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002808A Issued in IN

Practice address

2101 Burlington Beach Rd
Valparaiso, IN 46383-1665

Phone

(219) 462-0309

Fax

(219) 465-7332

NPI assigned

Mar 6, 2006

Last updated

Jan 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cay Agostino Former name

Medicare fee-for-service enrollment

Enrolled in IN

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 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caterina.komyatte.p1@direct.northshorehealth.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A&K Kouklakis OD. P.C.

  dba Vision Quest Eye Clinics

  • Eyewear Supplier
  • Merrillville, IN
  • NPI 1235252396

  Optometrist

  Medicare reassignment NPD
• Community Healthnet Inc

  • Community Health Clinic/Center
  • Gary, IN
  • NPI 1952332298
  Medicare reassignment NPD
• Northshore Health Centers Inc

  dba NorthShore Regional Health Centers

  • Federally Qualified Health Center (FQHC)
  • Merrillville, IN
  • NPI 1114257300
  Medicare reassignment NPD
• Northwest Indiana Eye Associates, PC

  dba d/b/a Lewyckyj-Taglia- Felton Eye Clinics

  • Ophthalmology Physician
  • Valparaiso, IN
  • NPI 1336115237

  Optometrist

  Medicare reassignment NPD
• A&K Kouklakis OD P.C.

  dba Vision Quest Eye Clinics

  • Eyewear Supplier
  • Gary, IN
  • NPI 1295858371

  Optometrist

  NPD
• Community Healthnet Inc

  • Federally Qualified Health Center (FQHC)
  • Hammond, IN
  • NPI 1811650716
  NPD
• Community Healthnet Inc

  dba Community HealthNet@MLK

  • Federally Qualified Health Center (FQHC)
  • Gary, IN
  • NPI 1891262762
  NPD
• Northshore Health Centers, Inc

  dba NorthShore Hammond Health Center

  • Federally Qualified Health Center (FQHC)
  • Hammond, IN
  • NPI 1023440526
  NPD
• Northshore Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Chicago, IN
  • NPI 1336992999
  NPD
• Northwest Indiana Eye Associates, PC

  dba d/b/a Lewyckyj-Taglia-Felton Eye Clinics

  • Ophthalmology Physician
  • Crown Point, IN
  • NPI 1992999106

  Optometrist

  NPD

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1508833831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BURLINGTON BEACH RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463831665",
            "telephone_number": "219-462-0309",
            "fax_number": "219-465-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BURLINGTON BEACH RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463831665",
            "telephone_number": "219-462-0309",
            "fax_number": "219-465-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMYATTE",
        "first_name": "CATERINA",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-06",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002808A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAY",
            "last_name": "AGOSTINO",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Kogler, LMFT, CADAC II
• Ashley Nicole Kohler, WHNP- BC
• Brad A. Kolano, M.A., LMFT
• Katelyn Kolkebeck
• Maya Kommineni, MD
• Kathryn Konke
• Amanda Kooi
• Ruby Taylor Koontz
• Shelby Kopka, LCSW
• Sierra Kopp, PHARMD.

• Optometrist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.