Individual provider Active NPI

Rod C Kaufman, O.D.

  • Optometrist
  • Syracuse, IN
National Provider Identifier
1639171978
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002241 Issued in IN
Practice address
406 N Huntington St
Syracuse, IN 46567-1226
Phone
(574) 457-4476
Fax
(574) 457-5196
NPI assigned
Jun 1, 2005
Last updated
Jul 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002241 IN Primary

Addresses

Primary practice location

406 N Huntington St
Syracuse, IN 46567-1226

Mailing address

406 N Huntington St
Syracuse, IN 46567-1226
Phone (574) 457-4476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105000179 IN Practitioner - Optometry 4385750587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Eyecare Syracuse LLCGroup PAC ID 4385016203, 3 clinicians

Practice addresses (Care Compare)

612 S Huntington St
Syracuse, IN 46567-1804
Phone (574) 457-4476

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Eyecare Syracuse LLC Optometrist CurrentSince Jan 16, 2023 Accepting new patients

Locations

612 S Huntington St
Syracuse, IN 46567
Phone (574) 457-4476

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1639171978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N HUNTINGTON ST",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465671226",
            "telephone_number": "574-457-4476",
            "fax_number": "574-457-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N HUNTINGTON ST",
            "city": "SYRACUSE",
            "state": "IN",
            "postal_code": "465671226",
            "telephone_number": "574-457-4476",
            "fax_number": "574-457-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "ROD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, IN

Sources for this page

Verify at the official NPI Registry.