Provider Demographics
NPI:1669495271
Name:KAUFMAN, GEORGE C III (OD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:C
Last Name:KAUFMAN
Suffix:III
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1001 MEDICAL PLAZA DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3241
Mailing Address - Country:US
Mailing Address - Phone:281-367-2020
Mailing Address - Fax:281-292-2297
Practice Address - Street 1:1001 MEDICAL PLAZA DR
Practice Address - Street 2:SUITE 100
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3241
Practice Address - Country:US
Practice Address - Phone:281-367-2020
Practice Address - Fax:281-292-2297
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2244TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX093568063Medicaid
TXT14131Medicare UPIN
TX82Y721Medicare ID - Type Unspecified
TX0403010001Medicare NSC