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LAKESHORE EYE SPECIALISTS PC
NPI 1700407384
Ophthalmology in Michigan City, IN

Active since May 05, 2020
3777 N FRONTAGE RD, MICHIGAN CITY, IN 46360(368) 226-0467 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2026, May 11, 2020, May 5, 2020 (3 updates tracked since 2020).

About Lakeshore Eye Specialists Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESHORE EYE SPECIALISTS PC (NPI 1700407384) is a healthcare organization registered as an ophthalmology in Michigan City, Indiana and active in the NPI registry since May 2020. The organization lists Enoch Enoch, Owner, as its authorized official.

NPPES Registry Identity

NPI1700407384
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameLAKESHORE EYE SPECIALISTS PC
Location Address3777 N FRONTAGE RDMichigan City, IN 46360-7695
Mailing AddressPo Box 96251Phoenix, AZ 85072-6251 · (219) 221-6198
Phone(368) 226-0467
Organization SubpartNo
Authorized OfficialEnoch EnochOwner · (260) 467-3682
Enumeration DateMay 5, 2020
Last NPPES UpdateApril 1, 20263 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1700407384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3777 N FRONTAGE RD, Michigan City, IN 46360
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeshore Eye Specialists Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeshore Eye Specialists PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Enoch Kassa, M.D.
Ophthalmology
NPI 1083980858
3777 N FRONTAGE RD STE 400
Michigan City, IN 46360
(219) 221-6198
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeshore Eye Specialists PC's NPI number?

The NPI number for Lakeshore Eye Specialists PC is 1700407384. It was assigned to this organization in the NPPES registry on May 5, 2020.

Where is Lakeshore Eye Specialists PC located?

Lakeshore Eye Specialists PC is located at 3777 N Frontage Rd, Michigan City, IN 46360. The listed phone number is (368) 226-0467.

What is Lakeshore Eye Specialists PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Lakeshore Eye Specialists PC enrolled in Medicare?

Yes. Lakeshore Eye Specialists PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeshore Eye Specialists PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Lakeshore Eye Specialists PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lakeshore Eye Specialists PC was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.