Active NPI
Lawrence M Kaufman, M.D., PH.D., SC
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Chicago, IL
National Provider Identifier
1063733400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Legal business name
- LAWRENCE M KAUFMAN, M.D., PH.D., SC
- Practice address
- 2456 N Western Ave
Chicago, IL 60647-2012 - Phone
- (773) 235-2020
- Fax
- (773) 235-2037
- NPI assigned
- Jun 21, 2010
- Last updated
- Oct 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Mathew Kaufman, M.D.,PH.D.
- Title
- Owner
- Phone
- (773) 235-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | |||
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | Primary |
Addresses
Primary practice location
2456 N Western Ave
Chicago, IL 60647-2012
Mailing address
2456 N Western Ave
Chicago, IL 60647-2012
Phone (773) 235-2020
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Chicago, IL
- NPI 1831147164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539302400000",
"number": "1063733400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2456 N WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472012",
"telephone_number": "773-235-2020",
"fax_number": "773-235-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2456 N WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472012",
"telephone_number": "773-235-2020",
"fax_number": "773-235-2037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE M KAUFMAN, M.D., PH.D., SC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-21",
"last_updated": "2018-10-12",
"status": "A",
"authorized_official_last_name": "KAUFMAN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "MATHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-235-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D.,PH.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207WX0110X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.