Organization Active NPI

Northwest Indiana Eye Associates, PC

Doing business as d/b/a Lewyckyj-Taglia-Felton Eye Clinics

  • Ophthalmology Physician
  • Crown Point, IN
National Provider Identifier
1992999106
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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.NPI 1831165760
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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100315020MedicaidIN

Other names 1

  • d/b/a Lewyckyj-Taglia-Felton Eye Clinics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 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).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2061715Northwest Indiana Eye Associates Dba LTF Eye297 West Franciscan Lane, Suite 101, Crown Point, IN 46307Certificate of waiverJul 1, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Northwest Indiana Eye Associates PC297 Franciscan Lane, Crown Point, IN 46307-4859(219) 662-0999 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Aug 7, 1991

National Provider Directory

National Provider Directory
Tax ID family
Northwest in Eye Assoc PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

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

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.

Verify at the official NPI Registry.