Active NPI
Jeffrey Kamo, OD
- Corneal and Contact Management Optometrist
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OPT35504-TLG
- Practice address
- 200 Minor Hall
Berkeley, CA 94720 - Phone
- (510) 642-2020
- NPI assigned
- Jun 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OPT35504-TLG | CA | Primary |
Addresses
Primary practice location
200 Minor Hall
Berkeley, CA 94720
Mailing address
200 Minor Hall
Berkeley, CA 94720
Phone (510) 642-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11605 Goetting Ave
Tustin, CA 92782-3334
1545 Adams Ave
Suite 100
Costa Mesa, CA 92626-3875
230 Minor Hall
Berkeley, CA 94720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT35504-TLG | CA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodbridge Optometry, Inc. | Current | Accepting new patients | |
| Regents of the University of California at Berkeley | Current | Accepting new patients | |
| Dr. Alissa Wald and Associates Optometry, Inc. | Current | Accepting new patients | |
| Christopher P. Likens & Nancy L. Wilson PTR | Past | Accepting new patients |
Locations
200 Minor Hall
Ste 384A
Berkeley, CA 94720
Phone (510) 642-7844
200 Minor Hall
Berkeley, CA 94720
Phone (510) 642-0945
1545 Adams Ave
Ste 100
Costa Mesa, CA 92626
Phone (714) 545-9162
4505 Barranca Pkwy
Ste C
Irvine, CA 92604
Phone (949) 857-0676
Organizations & group practices 4
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.
-
- Optometrist
- Costa Mesa, CA
- NPI 1851574958
-
- Optometrist
- Berkeley, CA
- NPI 1306908058
-
- Optometrist
- Irvine, CA
- NPI 1891232096
-
- Optometrist
- Irvine, CA
- NPI 1336262377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1104503432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MINOR HALL",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94720",
"telephone_number": "510-642-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MINOR HALL",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94720",
"telephone_number": "510-642-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMO",
"first_name": "JEFFREY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "OPT35504-TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.