Individual provider Active NPI

Myron I Lewyckyj, M.D.

  • Ophthalmology Physician
  • Valparaiso, IN
National Provider Identifier
1831165760
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01040588 Issued in IN
Practice address
2101 Burlington Beach Rd.
Valparaiso, IN 46383-0000
Phone
(219) 462-0309
Fax
(219) 464-4291
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01040588 IN Primary

Addresses

Primary practice location

2101 Burlington Beach Rd.
Valparaiso, IN 46383-0000

Mailing address

2101 Burlington Beach Rd.
Valparaiso, IN 46383-0000
Phone (219) 462-0309

Other identifiers 1

IdentifierTypeStateIssuer
100362380BMedicaidIN

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100728000516 IN Practitioner - Ophthalmology 9638177645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Indiana Eye Associates PCGroup PAC ID 1355319583, 9 clinicians

Practice addresses (Care Compare)

2101 Burlington Beach Rd
Valparaiso, IN 46383-1665
Phone (219) 462-0309

297 W Franciscan Dr
101 Lewyckyj Taglia Felton Eye Clinics
Crown Point, IN 46307-4859
Phone (219) 662-0999

Hospital & facility affiliations

  • Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Franciscan Health Dyer Hospital, Dyer, IN, CCN 150090
  • Franciscan Health Munster Hospital, Munster, IN, CCN 150165

Merit-based Incentive Payment System (MIPS)

Final score
71.74 of 100Reported as group
Quality
96.85
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery454
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01040588INMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Indiana Eye Associates, PC Ophthalmology Current Accepting new patients

Locations

297 W Franciscan Dr
Ste 101
Crown Point, IN 46307
Phone (219) 662-0999

2101 Burlington Beach Rd
Valparaiso, IN 46383
Phone (219) 462-0309

Interoperability endpoints

  • Direct secure messaging: mlewyckyj83138@direct.franciscanalliance.org
  • Direct secure messaging: mlewyckyj@ltfeyeclinics.direct.eyemdemr.com

Organizations & group practices 1

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 6

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1831165760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BURLINGTON BEACH RD.",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463830000",
            "telephone_number": "219-462-0309",
            "fax_number": "219-464-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BURLINGTON BEACH RD.",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463830000",
            "telephone_number": "219-462-0309",
            "fax_number": "219-464-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWYCKYJ",
        "first_name": "MYRON",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01040588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100362380B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.