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

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

Organization subpart

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074319",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31603018",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407019524",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Hall Youth Services
• Lawrence Hall Youth Services
• Lawrence Hall Youth Services
• Lawrence House
• Lawrence Lindeman MD SC
• Lawrence Stone
• Lawrence W Kolar, DDS, PC
• Tibessa Lawrence-Ellis
• Ashly C Lawrence, LCPC
• Christie Nicole Lawrence, DNP RN APN/CNS

• Pediatric Ophthalmology and Strabismus Specialist Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Ophthalmology and Strabismus Specialist Physician in Illinois

• 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.