Organization Active NPI

Lakeshore Eye Specialists PC

  • Ophthalmology Physician
  • Michigan City, IN
National Provider Identifier
1700407384
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LAKESHORE EYE SPECIALISTS PC
Practice address
3777 N Frontage Rd
Michigan City, IN 46360-7695
Phone
(368) 226-0467
NPI assigned
May 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Dr. Enoch Enoch, MD
Title
Owner
Phone
(260) 467-3682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3777 N Frontage Rd
Michigan City, IN 46360-7695

Mailing address

PO Box 96251
Phoenix, AZ 85072-6251
Phone (219) 221-6198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200513003279 IN Part B Supplier - Clinic/Group Practice 4486085115 Receives reassigned benefits from 1 practitioner
Practice locations: Michigan City, IN

National Provider Directory

National Provider Directory

Locations

3777 N Frontage Rd
Ste 400
Michigan City, IN 46360
Phone (219) 221-6198

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1700407384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96251",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850726251",
            "telephone_number": "219-221-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 N FRONTAGE RD",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607695",
            "telephone_number": "368-226-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE EYE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "ENOCH",
        "authorized_official_first_name": "ENOCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-467-3682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.