Organization
NORTHWEST INDIANA EYE ASSOCIATES, PC
Active
Other names
d/b/a Lewyckyj-Taglia-Felton Eye Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRON I. LEWYCKYJ M.D. (PRESIDENT)
(219) 462-0309
Entity
Organization
Contact information
Practice address
297 W. FRANCISCAN DR., SUITE 101, CROWN POINT, IN 46307-4858
(219) 662-0999
(219) 662-1080
Mailing address
2101 BURLINGTON BEACH RD., VALPARAISO, IN 46383-1665
(219) 462-0309
(219) 464-4291
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100315020
—
IN
Enumeration date
08/30/2007
Last updated
02/13/2015
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