Active NPI
Northwest Indiana Eye Associates, PC
Doing business as d/b/a Lewyckyj-Taglia-Felton Eye Clinics
- Ophthalmology Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- NORTHWEST INDIANA EYE ASSOCIATES, PC
- Doing business as
- d/b/a Lewyckyj-Taglia-Felton Eye Clinics
- Practice address
- 701 Superior Ave.
Suite a
Munster, IN 46321-4037 - Phone
- (219) 934-0150
- Fax
- (219) 934-0152
- NPI assigned
- Aug 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Myron I. Lewyckyj, M.D.
- Title
- President
- Phone
- (219) 462-0309
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
701 Superior Ave.
Suite a
Munster, IN 46321-4037
Mailing address
2101 Burlington Beach Rd.
Valparaiso, IN 46383-1665
Phone (219) 462-0309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100315020 | Medicaid | IN |
Other names 1
- d/b/a Lewyckyj-Taglia-Felton Eye Clinics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040924000081 | IN | Part B Supplier - Clinic/Group Practice | 1355319583 |
Receives reassigned benefits from 7 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Crown Point, IN; Munster, IN; Valparaiso, IN |
| O20060717000057 | IN | Part B Supplier - Clinic/Group Practice | 1355319583 |
Receives reassigned benefits from 6 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Crown Point, IN; Munster, IN; Valparaiso, IN |
| O20100930023062 | IN | DME Supplier - Physician - Ophthalmology | 1355319583 | Practice locations: Munster, IN |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba d/b/a Lewyckyj-Taglia- Felton Eye Clinics
- Ophthalmology Physician
- Valparaiso, IN
- NPI 1336115237
1355319583
-
dba d/b/a Lewyckyj-Taglia-Felton Eye Clinics
- Ophthalmology Physician
- Crown Point, IN
- NPI 1992999106
1355319583
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba d/b/a Lewyckyj-Taglia- Felton Eye Clinics
- Ophthalmology Physician
- Valparaiso, IN
- NPI 1336115237
O20040924000081, O20060717000057
-
dba d/b/a Lewyckyj-Taglia-Felton Eye Clinics
- Ophthalmology Physician
- Crown Point, IN
- NPI 1992999106
O20040924000081, O20060717000057
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2061714 | Northwest Indiana Eye Associates Dba LTF Eye | Certificate of waiver | Jul 1, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Northwest Indiana Eye Associates PC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Felton Evans Eye Clinic
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba d/b/a Lewyckyj-Taglia- Felton Eye Clinics
- Ophthalmology Physician
- Valparaiso, IN
- NPI 1336115237
-
dba d/b/a Lewyckyj-Taglia-Felton Eye Clinics
- Ophthalmology Physician
- Crown Point, IN
- NPI 1992999106
Locations
297 W Franciscan Dr
Ste 101
Crown Point, IN 46307
Phone (219) 662-0999
701 Superior Ave
Ste A
Munster, IN 46321
Phone (219) 934-0150
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Merrillville, IN
- NPI 1609842558
-
- Optometrist
- Valparaiso, IN
- NPI 1548943442
-
- Optometrist
- Valparaiso, IN
- NPI 1790752525
-
- Optometrist
- Valparaiso, IN
- NPI 1700853637
-
- Optometrist
- Valparaiso, IN
- NPI 1154398097
-
- Ophthalmology Physician
- Valparaiso, IN
- NPI 1851368674
-
- Ophthalmology Physician
- Valparaiso, IN
- NPI 1427374180
-
- Ophthalmology Physician
- Munster, IN
- NPI 1417950619
-
- Optometrist
- Marietta, OH
- NPI 1457695397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423785600000",
"number": "1861686099",
"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": "463831665",
"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": "701 SUPERIOR AVE.",
"address_2": "SUITE A",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463214037",
"telephone_number": "219-934-0150",
"fax_number": "219-934-0152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST INDIANA EYE ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-30",
"last_updated": "2015-02-13",
"status": "A",
"authorized_official_last_name": "LEWYCKYJ",
"authorized_official_first_name": "MYRON",
"authorized_official_middle_name": "I.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-462-0309",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100315020",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "d/b/a Lewyckyj-Taglia-Felton Eye Clinics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Munster, IN
- Heidi A Nordbrock, MD
- Kristin Lynn Noriega, M.D.
- North American Health Systems, LLP
- North Point Orthopedics LLC
- Northwest Indiana Ear Nose Throat & Sinus Center Inc
- Northwest Indiana Medical Associates, LLC
- Northwest Indiana Neurological Associates, PC
- Northwest Indiana Neurological Associates, PC (Center for Dizziness, Balance and Neuro-Rehab)
- Northwest Indiana Pain Services
- Northwest Indiana Pathology Consultants PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.