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Deactivated NPI 1316001936 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Eugene Tabernacki , OD

Optometrist • Chicago Ridge, 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. Michael Tabernacki has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 20, 2006
NPI Deactivation Date July 06, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Tabernacki, OD was a registered Optometrist practicing in Chicago Ridge, IL. Throughout an active medical career spanning 16 years, Dr. Tabernacki provided care at the practice location at 6501 95TH ST until profile deactivation on 2022-07-06.

Practice Location & Contact Primary Location

Practice Address

6501 95th St
Sears Optical

Chicago Ridge, IL 604152632

Telephone 7084994676
Fax 7084995080
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Chicago Ridge, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
15 Specialists

Practicing in Chicago Ridge, 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

State License IL 046-008140

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

1 Associated Practitioners
Jennifer Purpura

Hearing Instrument Specialist

NPI 1730432410

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 July 06, 2022

Record deactivated on July 06, 2022

NPI Profile Active October 12, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 12, 2016

Registered at 6501 95TH ST, SEARS OPTICAL, CHICAGO RIDGE, IL 604152632 (Tel: 7084994676)

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Updated Business Mailing Address October 12, 2016

Registered at 3946 JOHNSON AVE, WESTERN SPRINGS, IL 605581139 (Tel: 7086012688)

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Provider Name / Credentials Updated October 12, 2016

Recorded as MICHAEL TABERNACKI, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2016

Optometrist (License #046-008140 in IL)

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Initial NPI Registration & Enumeration December 20, 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: 1316001936
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2006
Last Update: October 12, 2016
Deactivation Date: July 06, 2022

Mailing Address

3946 Johnson Ave

Western Springs, IL 605581139

Phone: 7086012688

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.