Organization Active NPI

Lawrence M Kaufman, M.D., PH.D., SC

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Chicago, IL
National Provider Identifier
1063733400
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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.NPI 1831147164
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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X
Pediatric Ophthalmology and Strabismus Specialist PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.