Provider Demographics
NPI:1083020291
Name:KAUFMAN FREEMAN, CAROLINE KAUFMAN (OD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:KAUFMAN
Last Name:KAUFMAN FREEMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CAROLINE
Other - Middle Name:CRANFILL
Other - Last Name:KAUFMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:PO BOX 15849
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-2549
Mailing Address - Country:US
Mailing Address - Phone:912-303-3560
Mailing Address - Fax:912-303-3506
Practice Address - Street 1:3800 SOUTHWEST FWY STE 112
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7586
Practice Address - Country:US
Practice Address - Phone:713-627-3937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-08
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist