Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1750454443 Deactivated / Inactive NPI Male Practitioner

Dr. Robert F Kennett , OD

Optometrist • Bloomington, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Kennett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 17, 2006
NPI Deactivation Date March 18, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Kennett, OD was a registered Optometrist practicing in Bloomington, IL. Throughout an active medical career spanning 13 years, Dr. Kennett provided care at the practice location at 2103 E WASHINGTON until profile deactivation on 2019-03-18.

Practice Location & Contact Primary Location

Practice Address

2103 E Washington
Suite 1d

Bloomington, IL 617074365

Telephone 3096622277
Fax 3096636472
Associated Practice Facility / Clinic
🏢 Eyecare Associates, Llp Facility NPI 1881882504

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.4 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
18 Specialists

Practicing in Bloomington, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1053404780

Doctor of Optometry

NPI 1194730648

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 18, 2019

Record deactivated on March 18, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2103 E WASHINGTON, SUITE 1D, BLOOMINGTON, IL 617074365 (Tel: 3096622277)

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Updated Business Mailing Address July 08, 2007

Registered at 2103 E WASHINGTON, SUITE 1D, BLOOMINGTON, IL 617074365 (Tel: 3096622277)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT KENNETT, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist

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Initial NPI Registration & Enumeration November 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750454443
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2006
Last Update: July 08, 2007
Deactivation Date: March 18, 2019

Mailing Address

2103 E Washington, Suite 1d

Bloomington, IL 617074365

Phone: 3096622277

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.