Individual provider Active NPI

Caroline Kaufman, O.D.

  • Corneal and Contact Management Optometrist
  • Bellevue, WA
National Provider Identifier
1831294503
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OD3162TX Issued in WA
Practice address
4317 Factoria Blvd SE
Suite a
Bellevue, WA 98006-1937
Phone
(425) 641-2020
Fax
(425) 641-7899
NPI assigned
Sep 14, 2006
Last updated
Feb 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OD3162TX WA Primary

Addresses

Primary practice location

4317 Factoria Blvd SE
Suite a
Bellevue, WA 98006-1937

Mailing address

4317 Factoria Blvd SE
Suite a
Bellevue, WA 98006-1937
Phone (425) 641-2020

Other names 1

  • Dr. Caroline Nibler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040803000135 WA Practitioner - Optometry 2769452523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Contact Lens Consultants NorthwestGroup PAC ID 9133424369, 2 clinicians

Practice addresses (Care Compare)

4317 Factoria Blvd SE
Suite a
Bellevue, WA 98006-1937
Phone (425) 641-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD3162TXWAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Contact Lens Consultants Northwest Corneal and Contact Management CurrentSince Dec 26, 2015 Accepting new patients

Locations

4317 Factoria Blvd SE
Ste A
Bellevue, WA 98006
Phone (425) 391-3222

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1831294503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 FACTORIA BLVD SE",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061937",
            "telephone_number": "425-641-2020",
            "fax_number": "425-641-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 FACTORIA BLVD SE",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061937",
            "telephone_number": "425-641-2020",
            "fax_number": "425-641-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "OD3162TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "NIBLER",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.