Active NPI
Luciana Marie Petitti, O.D.
- Optometrist
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18004201A
- Practice address
- 3701 Franklin St
Michigan City, IN 46360-7310 - Phone
- (219) 872-8844
- NPI assigned
- Jul 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046.011192 | IL | |
| Optometrist | 152W00000X | 18004201A | IN | Primary |
Addresses
Primary practice location
3701 Franklin St
Michigan City, IN 46360-7310
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300032397 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2106 Calumet Ave
Valparaiso, IN 46383-2708
Phone (219) 464-8200
3701 Franklin St
Michigan City, IN 46360-7310
Phone (219) 872-8844
422 Perry St
La Porte, IN 46350-3200
Phone (219) 325-0404
9760 Lantern Rd
Fishers, IN 46037-9612
Phone (317) 577-9200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011192 | IL | MD | Optometrist |
| 18004201A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Current | Accepting new patients | |
| Munster Eye Care Associates, P.C. | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Munster Eye Care Associates, P.C. | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
Locations
239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286
2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133
528 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 250-2470
9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200
422 Perry St
La Porte, IN 46350
Phone (219) 325-0404
3701 Franklin St
Michigan City, IN 46360
Phone (219) 872-8844
759 45th St
Ste 101
Munster, IN 46321
Phone (219) 922-6226
6097 US Highway 6
Portage, IN 46368
Phone (219) 730-4559
2106 Calumet Ave
Valparaiso, IN 46383
Phone (219) 464-8200
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Lebanon, IN
- NPI 1083100424
-
- Optometrist
- Niles, IL
- NPI 1831115906
-
- Optometrist
- Munster, IN
- NPI 1922974526
-
- Optometrist
- Michigan City, IN
- NPI 1982190328
-
- Eyewear Supplier
- Simpsonville, SC
- NPI 1699571166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1750867206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 FRANKLIN ST",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463607310",
"telephone_number": "219-872-8844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETITTI",
"first_name": "LUCIANA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-18",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.011192",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004201A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300032397",
"state": "IN"
}
],
"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 Jul 31, 2026; 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.
- 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.