Active NPI
Northwest Indiana Eye Associates, PC
Doing business as d/b/a Lewyckyj-Taglia-Felton Eye Clinics
- Ophthalmology Physician
- Crown Point, 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
- 297 W. Franciscan Dr.
Suite 101
Crown Point, IN 46307-4858 - Phone
- (219) 662-0999
- Fax
- (219) 662-1080
- NPI assigned
- Aug 30, 2007
- Last updated
- Feb 13, 2015
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
297 W. Franciscan Dr.
Suite 101
Crown Point, IN 46307-4858
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 |
| O20100930064174 | IN | DME Supplier - Physician - Ophthalmology | 1355319583 | Practice locations: Crown Point, 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
- Munster, IN
- NPI 1861686099
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
- Munster, IN
- NPI 1861686099
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 |
|---|---|---|---|
| 15D2061715 | 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 | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Northwest in Eye Assoc PC
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
- Munster, IN
- NPI 1861686099
Locations
1620 Country Club Rd
Ste D
Valparaiso, IN 46383
Phone (219) 462-0309
2101 Burlington Beach Rd
Valparaiso, IN 46383
Phone (219) 462-0309
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Ophthalmology Physician
- Valparaiso, IN
- NPI 1831165760
-
- Optometrist
- Merrillville, IN
- NPI 1609842558
-
- Optometrist
- Valparaiso, IN
- NPI 1548943442
-
- Optometrist
- Valparaiso, IN
- NPI 1790752525
-
- Optometrist
- Valparaiso, IN
- NPI 1700853637
-
- Optometrist
- Valparaiso, IN
- NPI 1508833831
-
- Optometrist
- Marietta, OH
- NPI 1457695397
-
- Ophthalmology Physician
- Valparaiso, IN
- NPI 1427024348
-
- Ophthalmology Physician
- Munster, IN
- NPI 1417950619
-
- Optometrist
- Cincinnati, OH
- NPI 1588603856
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": "1992999106",
"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": "297 W. FRANCISCAN DR.",
"address_2": "SUITE 101",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463074858",
"telephone_number": "219-662-0999",
"fax_number": "219-662-1080"
}
],
"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 Crown Point, IN
- Jacqueline Poca Noerenberg, PT
- Northland Hearing Centers, Inc.
- Northshore Health Centers, Inc. (NorthShore Crown Point Pharmacy)
- Northshore Health Centers, Inc. (NorthShore Health Centers Temporary Site)
- Northshore Health Centers, Inc. (NorthShore Crown Point Health Center)
- Northwest Indiana Orthopedics LLC
- Northwest Indiana Radiation Oncology, PC
- Northwest Indiana Special Education Cooperative
- Andrea Elizabeth Nosich, OTR/L
- Nour Rehabilitation Center ,Inc
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.