Active NPI
Caroline Kaufman, O.D.
- Corneal and Contact Management Optometrist
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OD3162TX
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| OD3162TX | WA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contact Lens Consultants Northwest | Corneal and Contact Management | Current | 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.
-
dba Factoria Eye Clinic
- Corneal and Contact Management Optometrist
- Bellevue, WA
- NPI 1568579225
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.