CRAIG MICHAEL LICHLYTER (O.D.) – Optometrist, NPI 1720392020

CRAIG MICHAEL LICHLYTER (O.D.) is a healthcare provider. based in Kendallville, Indiana. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 18003657A (IN). The NPI Number for CRAIG MICHAEL LICHLYTER (O.D.) is 1720392020

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
CRAIG MICHAEL LICHLYTER (O.D.)
NPI
1720392020
Phone
(260) 347-3458
Address
781 E NORTH ST
Enumeration Date
29 July 2010
Last Update Date
27 August 2016

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2608943912
Graduation Year
2010 (16 years ago)
PAC ID
2466644679
Group Practice PAC ID
9830165026
Professional Enrollment ID
I20101006000832
Address ID
IN467671705LI809XXSXXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

Provider Addresses for CRAIG MICHAEL LICHLYTER (O.D.)

  • 781 E NORTH ST

    KENDALLVILLE, IN 467551225

    Phone: (260) 347-3458

    Fax: (260) 347-4425

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101006000832IOptometryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system143142$0
99213Established patient office or other outpatient visit, 20-29 minutes10888$0
92250Photography of the retina7676$0
92134Imaging of retina5049$0
92083Exam of visual field with extended testing3736$0
View full utilization report →

Insurance plans in this area (ZIP 46755)

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Provider's Procedures

CRAIG MICHAEL LICHLYTER (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIN92083Measurement of field of vision during daylight conditions1313
OPTOMETRYIN92134Diagnostic imaging of retina2423

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830165026View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

Is CRAIG MICHAEL LICHLYTER (O.D.) listed with a National Provider Identifier?
Yes — CRAIG MICHAEL LICHLYTER (O.D.) has NPI 1720392020 on file in the registry.
Is CRAIG MICHAEL LICHLYTER (O.D.) still an active registrant?
CRAIG MICHAEL LICHLYTER (O.D.) carries an active NPI according to the public dataset.
What kind of doctor is CRAIG MICHAEL LICHLYTER (O.D.)?
CRAIG MICHAEL LICHLYTER (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for CRAIG MICHAEL LICHLYTER (O.D.)?
Travel planning: use Kendallville, Indiana as the reference point for CRAIG MICHAEL LICHLYTER (O.D.), then confirm.
Can I trust this NPI listing for CRAIG MICHAEL LICHLYTER (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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