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Deactivated NPI 1457303059 Deactivated / Inactive NPI Male Practitioner

Dr. Phillip Lee Kaufman , OD

Optometrist • Crete, 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. Phillip Kaufman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 16, 2006
NPI Deactivation Date September 18, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Kaufman, OD was a registered Optometrist practicing in Crete, IL. Throughout an active medical career spanning 11 years, Dr. Kaufman provided care at the practice location at 1395 MAIN ST until profile deactivation on 2017-09-18.

Practice Location & Contact Primary Location

Practice Address

1395 Main St

Crete, IL 604172951

Telephone 7086725452
Fax 7086725453

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Crete, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Crete, 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 046006741

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.

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 September 18, 2017

Record deactivated on September 18, 2017

NPI Profile Active May 27, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 27, 2008

Registered at 1395 MAIN ST, CRETE, IL 604172951 (Tel: 7086725452)

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Updated Business Mailing Address May 27, 2008

Registered at 1395 MAIN ST, CRETE, IL 604172951 (Tel: 7086725452)

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Provider Name / Credentials Updated May 27, 2008

Recorded as PHILLIP KAUFMAN, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2008

Optometrist (License #046006741 in IL)

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Initial NPI Registration & Enumeration May 16, 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: 1457303059
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2006
Last Update: May 27, 2008
Deactivation Date: September 18, 2017

Mailing Address

1395 Main St

Crete, IL 604172951

Phone: 7086725452

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.