Individual provider Active NPI

Mackayla Elizabeth Sadilek, OD

  • Optometrist
  • Fort Wayne, IN
National Provider Identifier
1720820004
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004516 Issued in IN
Practice address
14413 Illinois Rd
Fort Wayne, IN 46814-9610
Phone
(260) 616-0184
NPI assigned
Jun 8, 2024
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004516 IN Primary

Addresses

Primary practice location

14413 Illinois Rd
Fort Wayne, IN 46814-9610

Mailing address

14413 Illinois Rd Ste C
Fort Wayne, IN 46814-9611
Phone (260) 616-0184

Other practice location 1

1400 N Wayne St Ste F
Angola, IN 46703-2359
Phone (260) 668-8881

Other names 1

  • Mackayla Elizabeth Wolfe Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240730002791 IN Practitioner - Optometry 1153868930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Envision Eye Care LLCGroup PAC ID 3375711799, 2 clinicians
Myeyedr Optometry of Indiana LLCGroup PAC ID 5496091316, 82 clinicians

Practice addresses (Care Compare)

14413 Illinois Rd
Suite C
Fort Wayne, IN 46814-9611
Phone (260) 616-0184

3701 S Main St
Elkhart, IN 46517-3106
Phone (574) 875-8511

9760 Lantern Rd
Fishers, IN 46037-9612
Phone (317) 577-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004516INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jul 23, 2024 Accepting new patients
Envision Eye Care LLC Optometrist CurrentSince Jun 27, 2024 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jul 23, 2024 Accepting new patients

Locations

1400 N Wayne St
Ste F
Angola, IN 46703
Phone (260) 668-8881

2224 Cassopolis St
Elkhart, IN 46514
Phone (574) 206-1533

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

14413 Illinois Rd
Ste C
Fort Wayne, IN 46814
Phone (260) 402-8382

422 Perry St
La Porte, IN 46350
Phone (219) 325-0404

8614 Westwood Center Dr
Fl 9
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1720820004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14413 ILLINOIS RD STE C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149611",
            "telephone_number": "260-616-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14413 ILLINOIS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149610",
            "telephone_number": "260-616-0184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Wayne St Ste F",
            "address_purpose": "LOCATION",
            "city": "Angola",
            "state": "IN",
            "postal_code": "467032359",
            "country_code": "US",
            "telephone_number": "260-668-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADILEK",
        "first_name": "MACKAYLA",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-08",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKAYLA",
            "last_name": "WOLFE",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.