Northside Eye Center LLC
NPI 1770266322 · Optometrist · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northside Eye Center LLC is a Optometrist organization in Fort Wayne, IN (NPI 1770266322).
Provider details
- NPI number
- 1770266322
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Brandon Callow, Optometrist(260) 255-0654
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-10
- Last updated
- 2024-03-11
- Certified
- 2024-03-07
Frequently asked questions
- What is Northside Eye Center LLC's NPI number?
- Northside Eye Center LLC's National Provider Identifier (NPI) is 1770266322, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northside Eye Center LLC?
- Northside Eye Center LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Northside Eye Center LLC located?
- Northside Eye Center LLC's practice location on file with NPPES is 9610 Lima Road, Fort Wayne, IN 46818-9998.
- What is Northside Eye Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Northside Eye Center LLC is (260) 440-8388.
- Does Northside Eye Center LLC accept Medicare?
- Northside Eye Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northside Eye Center LLC?
- The authorized official listed on Northside Eye Center LLC's NPPES record is Brandon Callow, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northside Eye Center LLC's NPI active?
- Yes — Northside Eye Center LLC's NPI (1770266322) is active in the NPPES registry as of the last update on 2024-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.