Healthcare Provider Details

I. General information

NPI: 1548197486
Provider Name (Legal Business Name): CHANDLER KAYE KAUFFMAN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 S EAGLE RD
EAGLE ID
83616-5912
US

IV. Provider business mailing address

550 S DAVIN CREEK DR
NAMPA ID
83686-3110
US

V. Phone/Fax

Practice location:
  • Phone: 208-938-2015
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number--
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: