Provider Demographics
NPI:1831294503
Name:KAUFMAN, CAROLINE (OD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CAROLINE
Other - Middle Name:
Other - Last Name:NIBLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:4317 FACTORIA BLVD SE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-1937
Mailing Address - Country:US
Mailing Address - Phone:425-641-2020
Mailing Address - Fax:425-641-7899
Practice Address - Street 1:4317 FACTORIA BLVD SE
Practice Address - Street 2:SUITE A
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1937
Practice Address - Country:US
Practice Address - Phone:425-641-2020
Practice Address - Fax:425-641-7899
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD3162TX152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management