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Deactivated NPI 1659364586 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Scott Feldt , OD

Optometrist • Rockford, 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 Feldt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 25, 2005
NPI Deactivation Date July 17, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Feldt, OD was a registered Optometrist practicing in Rockford, IL. Throughout an active medical career spanning 15 years, Dr. Feldt provided care at the practice location at 1640 BROADWAY until profile deactivation on 2020-07-17.

Practice Location & Contact Primary Location

Practice Address

1640 Broadway

Rockford, IL 611046000

Telephone 8153971487
Fax 8153973435
Associated Practice Facility / Clinic
🏢 Michael S. Feldt, O.d., Ltd. Facility NPI 1821248287

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Rockford, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.4 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
56 Specialists

Practicing in Rockford, 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 046006833

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 July 17, 2020

Record deactivated on July 17, 2020

NPI Profile Active October 21, 2008

NPI status registered as active in NPPES database

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Updated Practice Location October 21, 2008

Registered at 1640 BROADWAY, ROCKFORD, IL 611046000 (Tel: 8153971487)

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Updated Business Mailing Address October 21, 2008

Registered at 1640 BROADWAY, ROCKFORD, IL 611046000 (Tel: 8153971487)

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Provider Name / Credentials Updated October 21, 2008

Recorded as MICHAEL FELDT, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2008

Optometrist (License #046006833 in IL)

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Initial NPI Registration & Enumeration August 25, 2005

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: 1659364586
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2005
Last Update: October 21, 2008
Deactivation Date: July 17, 2020

Mailing Address

1640 Broadway

Rockford, IL 611046000

Phone: 8153971487

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.