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Deactivated NPI 1104885771 Deactivated / Inactive NPI Male Practitioner

Dr. David R Oldenburgh , OD

Optometrist • Brooklyn, OH

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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. David Oldenburgh has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 21, 2006
NPI Deactivation Date October 18, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. David Oldenburgh, OD was a registered Optometrist practicing in Brooklyn, OH. Throughout an active medical career spanning 12 years, Dr. Oldenburgh provided care at the practice location at 4342 RIDGE RD until profile deactivation on 2018-10-18.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4342 Ridge Rd
Suite 1

Brooklyn, OH 441442718

Telephone 2167413733
Fax 2167493137
Associated Practice Facility / Clinic
🏢 Oldenburgh Eye Center Llc Facility NPI 1497096291

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Brooklyn, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Brooklyn, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
7.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
88 50 $110.03 $98.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
26 26 $140.00 $132.99

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 4375

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
NPI 1457487340

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 October 18, 2018

Record deactivated on October 18, 2018

NPI Profile Active March 05, 2013

NPI status registered as active in NPPES database

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Updated Practice Location March 05, 2013

Registered at 4342 RIDGE RD, SUITE 1, BROOKLYN, OH 441442718 (Tel: 2167413733)

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Updated Business Mailing Address March 05, 2013

Registered at 4342 RIDGE RD, SUITE 1, BROOKLYN, OH 441442715 (Tel: 2167413733)

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Provider Name / Credentials Updated March 05, 2013

Recorded as DAVID OLDENBURGH, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2013

Optometrist (License #4375 in OH)

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Initial NPI Registration & Enumeration March 21, 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: 1104885771
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2006
Last Update: March 05, 2013
Deactivation Date: October 18, 2018

Mailing Address

4342 Ridge Rd, Suite 1

Brooklyn, OH 441442715

Phone: 2167413733

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

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