Factoria Eye Clinic – Corneal and Contact Management Optometrist, NPI 1568579225

Factoria Eye Clinic is a healthcare provider. based in Bellevue, Washington. specializing in Corneal and Contact Management Optometrist. The organization holds a License No. OD3162TX (WA). The NPI Number for Factoria Eye Clinic is 1568579225

Main info

Organization
Name
Factoria Eye Clinic
NPI
1568579225
Phone
(425) 641-2020
Address
4317 FACTORIA BLVD SE
Authorized Official
DR. CAROLINE NIBLER KAUFMAN PRESIDENT O.D,
Enumeration Date
25 August 2006
Last Update Date
11 February 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Factoria Eye Clinic

  • 4317, Factoria Boulevard Southeast, Factoria, Bellevue, King County, Washington, 98006, United States

    SUITE A

    BELLEVUE, WA 980061937

    Phone: (425) 641-2020

    Fax: (425) 641-7899

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-10-31 (224 days ago).

Enrollment records

1

Earliest due date

2025-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20160225000535OClinic/Group PracticeWA2025-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98006)

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Reviews

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Frequently asked questions

What NPI should I save for Factoria Eye Clinic?
Save NPI 1568579225 if you need a stable reference for Factoria Eye Clinic.
Is Factoria Eye Clinic active in the national directory?
Factoria Eye Clinic's public NPI profile is in an active state.
What field does Factoria Eye Clinic work in?
You can think of Factoria Eye Clinic as practicing within Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place Factoria Eye Clinic?
The snapshot lists Bellevue, Washington for Factoria Eye Clinic; download NPPES for the complete set.
How can I contact Factoria Eye Clinic?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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