NPIMap

Organization Active NPI

Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Munster, IN
National Provider Identifier
1922974526
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MYEYEDR OPTOMETRY OF INDIANA, LLC
Practice address
9410 Calumet Ave Ste 103
Munster, IN 46321-0018
Phone
(219) 728-4452
Fax
(219) 728-4357
NPI assigned
Oct 13, 2025
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Sue Ann Downes
Title
Secretary
Phone
(703) 847-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

9410 Calumet Ave Ste 103
Munster, IN 46321-0018

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190115001215 IN Part B Supplier - Clinic/Group Practice 5496091316 Receives reassigned benefits from 157 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Myeyedr Optometry LLC50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

Organizations that report the same tax identification number in the National Provider Directory.

View all 49

Locations

101 W Kirkwood Ave
Bloomington, IN 47404
Phone (812) 331-9082

1105 S College Mall Rd
Bloomington, IN 47401
Phone (812) 333-2020

2901 S McIntire Dr
Ste 120
Bloomington, IN 47403
Phone (812) 332-1401

3965 W 106th St
Ste 120
Carmel, IN 46032
Phone (317) 602-6332

3701 S Main St
Elkhart, IN 46517
Phone (574) 875-4499

4335 E 82nd St
Ste 105
Indianapolis, IN 46250
Phone (317) 284-9148

6905 E 96th St
Ste 1100
Indianapolis, IN 46250
Phone (317) 576-9809

7255 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 842-3937

804 Broad Ripple Ave
Indianapolis, IN 46220
Phone (317) 257-5421

17151 Mercantile Blvd
Ste 100
Noblesville, IN 46060
Phone (317) 259-4234

2245 E Main St
Ste 100
Plainfield, IN 46168
Phone (317) 837-7800

315 W Ireland Rd
Ste 200
South Bend, IN 46614
Phone (574) 291-9200

506 Wabash Ave
Terre Haute, IN 47807
Phone (812) 232-0073

Practitioners & affiliated clinicians

Practitioners 161

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 161

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1922974526",
    "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",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 CALUMET AVE STE 103",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210018",
            "telephone_number": "219-728-4452",
            "fax_number": "219-728-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.