Individual provider Active NPI

Luciana Marie Petitti, O.D.

  • Optometrist
  • Michigan City, IN
National Provider Identifier
1750867206
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004201A Issued in IN
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

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300032397MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190702001735 IL Practitioner - Optometry 6103150792 Reassigns benefits to 1 organization
I20191114000260 IN Practitioner - Optometry 6103150792 Reassigns benefits to 2 organizations

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
Myeyedr Optometry of Indiana LLCGroup PAC ID 5496091316, 82 clinicians

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

LicenseStateTypeSpecialty
046.011192ILMDOptometrist
18004201AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Visionworks, Inc CurrentSince Mar 11, 2024 Accepting new patients
Munster Eye Care Associates, P.C. Optometrist CurrentSince Oct 21, 2019 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Munster Eye Care Associates, P.C. Optometrist CurrentSince Oct 21, 2019 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Mar 11, 2024 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.

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

Verify at the official NPI Registry.