Individual provider Active NPI

Samantha Ostrom

  • Optometrist
  • Crown Point, IN
National Provider Identifier
1790672384
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004584A Issued in IN
Practice address
1861 E Summit St
Crown Point, IN 46307-2768
Phone
(219) 617-5058
NPI assigned
Jun 18, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 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 18004584A IN Primary

Addresses

Primary practice location

1861 E Summit St
Crown Point, IN 46307-2768

Mailing address

1861 E Summit St
Crown Point, IN 46307-2768
Phone (219) 663-4450

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
I20250730001254 IN Practitioner - Optometry 1850808262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1861 E Summit St
Moses Eyecare Centers
Crown Point, IN 46307-2768
Phone (219) 663-4450

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert W Moses O.D. Professional Corporation Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Robert W Moses OD Professional Corp. Past Accepting new patients
Robert W Moses OD Professional Corp. Past Accepting new patients

Locations

1861 E Summit St
Crown Point, IN 46307
Phone (219) 617-5058

701 W 5th Ave
Gary, IN 46402
Phone (219) 881-0655

630 N Front St
Hebron, IN 46341
Phone (219) 995-2800

117 Deanna Dr
Lowell, IN 46356
Phone (219) 696-8077

70 E 68th Pl
Merrillville, IN 46410
Phone (219) 736-2020

3151 Willowcreek Rd
Portage, IN 46368
Phone (219) 736-2020

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1790672384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 E SUMMIT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072768",
            "telephone_number": "219-663-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 E SUMMIT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072768",
            "telephone_number": "219-617-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROM",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004584A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.