Active NPI
Lyle Edward Nowicki, O.D.
- Optometrist
- Bowling Green, OH
National Provider Identifier
1871577262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2867/T581
- Practice address
- 111 Clough St
Bowling Green, OH 43402-2901 - Phone
- (419) 352-3223
- Fax
- (419) 352-5485
- NPI assigned
- Nov 30, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2867/T581 | OH | Primary |
Addresses
Primary practice location
111 Clough St
Bowling Green, OH 43402-2901
Mailing address
111 Clough St
Bowling Green, OH 43402-2901
Phone (419) 352-3223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03385 | Other | OH | PARAMOUNT HMO PROVIDER # |
| 0144409 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2867/T581 | OH | MD | Optometrist |
| 2867 | OH | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Shilling & Peiffer, Inc. | Optometrist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Bowling Green, OH
- NPI 1346436979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1871577262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CLOUGH ST",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434022901",
"telephone_number": "419-352-3223",
"fax_number": "419-352-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CLOUGH ST",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434022901",
"telephone_number": "419-352-3223",
"fax_number": "419-352-5485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWICKI",
"first_name": "LYLE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "2867/T581",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT HMO PROVIDER #",
"identifier": "03385",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0144409",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, OH
- Patricia E Noble, CFNP
- Jeffrey B Noftz II, M.D.
- Northwest Ohio Medical Equipment LLC (Wood County Medical Equipment and Supply)
- Northwest Ohio Orthopedics and Sports Medicine Inc
- Andrew R Nowakowski, DO
- Nursing Service LPN
- Isabella Nyiri
- Tamara M O'Brien, LISW
- Brian M O'Neill, DDS
- Patrick B. O'Shea, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.