Individual provider Active NPI

Cameron Loe, OD

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1083273650
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002352 Issued in AZ
Practice address
3170 W Carefree Hwy Ste C3
Phoenix, AZ 85086-3205
Phone
(623) 444-2425
Fax
(602) 281-2783
NPI assigned
Jun 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002352 AZ Primary

Addresses

Primary practice location

3170 W Carefree Hwy Ste C3
Phoenix, AZ 85086-3205

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190715001133 AZ Practitioner - Optometry 9931434875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3170 W Carefree Hwy
Suite 3
Phoenix, AZ 85086-3240
Phone (623) 444-2425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Washington, PLLC Optometrist CurrentSince Sep 16, 2024 Accepting new patients
Myeyedr Optometry of Washington, PLLC Optometrist CurrentSince Sep 16, 2024 Accepting new patients

Locations

13065 W McDowell Rd
Ste B105
Avondale, AZ 85392
Phone (623) 663-0423

3170 W Carefree Hwy
Ste 3
Phoenix, AZ 85086
Phone (623) 444-2425

3170 W Carefree Hwy
Ste C3
Phoenix, AZ 85086
Phone (623) 444-2425

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1083273650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 W CAREFREE HWY STE C3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863205",
            "telephone_number": "623-444-2425",
            "fax_number": "602-281-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOE",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.