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Deactivated NPI 1780747691 Deactivated / Inactive NPI Male Practitioner

Dr. Paul R. Edelman , OD

Optometrist • Peekskill, NY

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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. Paul Edelman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 19, 2006
NPI Deactivation Date February 04, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Edelman, OD was a registered Optometrist practicing in Peekskill, NY. Throughout an active medical career spanning 16 years, Dr. Edelman provided care at the practice location at 906 SOUTH ST until profile deactivation on 2022-02-04.

Practice Location & Contact Primary Location

Practice Address

906 South St

Peekskill, NY 105663458

Telephone 9147373130
Associated Practice Facility / Clinic
🏢 Paul R Edelman Od Pc Facility NPI 1568620193

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Peekskill, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.5 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Peekskill, NY (3674 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 NY TUV002701

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 February 04, 2022

Record deactivated on February 04, 2022

NPI Profile Active March 01, 2011

NPI status registered as active in NPPES database

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Updated Practice Location March 01, 2011

Registered at 906 SOUTH ST, PEEKSKILL, NY 105663458 (Tel: 9147373130)

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Updated Business Mailing Address March 01, 2011

Registered at 906 SOUTH ST, PEEKSKILL, NY 105663458 (Tel: 9147373130)

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Provider Name / Credentials Updated March 01, 2011

Recorded as PAUL EDELMAN, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2011

Optometrist (License #TUV002701 in NY)

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Initial NPI Registration & Enumeration December 19, 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: 1780747691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2006
Last Update: March 01, 2011
Deactivation Date: February 04, 2022

Mailing Address

906 South St

Peekskill, NY 105663458

Phone: 9147373130

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.