Individual provider Active NPI

Chandler Kaye Kauffman, OD

  • Optometrist
  • Eagle, ID
National Provider Identifier
1548197486
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
-- Issued in ID
Practice address
355 S Eagle Rd
Eagle, ID 83616-5912
Phone
(208) 938-2015
NPI assigned
May 5, 2026
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X -- ID Primary

Addresses

Primary practice location

355 S Eagle Rd
Eagle, ID 83616-5912

Mailing address

550 S Davin Creek Dr
Nampa, ID 83686-3110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20260627000922 ID Practitioner - Optometry 4385117688

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Vision One PLLCGroup PAC ID 8921099730, 10 clinicians

Practice addresses (Care Compare)

355 S Eagle Rd
Eagle, ID 83616-5912
Phone (208) 938-2015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
--IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Vision One PLLC Optometrist CurrentSince Jul 1, 2026 Accepting new patients

Locations

355 S Eagle Rd
Eagle, ID 83616
Phone (208) 938-2015

4574 N Ten Mile Rd
Ste 100
Meridian, ID 83646
Phone (208) 938-2015

Organizations & group practices 1

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": "1777939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1548197486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S DAVIN CREEK DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836863110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S EAGLE RD",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165912",
            "telephone_number": "208-938-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "CHANDLER",
        "middle_name": "KAYE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

Verify at the official NPI Registry.