Active NPI
Lakeshore Eye Specialists PC
- Ophthalmology Physician
- Michigan City, IN
National Provider Identifier
1700407384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Michigan City, IN
- NPI 1083980858
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
- La Porte Regional Physician Netwrok
- Lake Effect Healing PC
- Lakeshore Bone & Joint Institute, PC
- Lakeshore Cardiovascular Institute LLC
- Lakeshore Eye Consultants, LLC
- Lakeshore Family Dental, P.C.
- Lakeshore Interventional Pain Associates, LLC
- Gregoria B Landicho, MD
- Christie Ann Lant, DDS
- Laporte County Comprehensive Mental Health Council
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.