Active NPI
Donald James Kamer, O.D.
- Optometrist
- Spartanburg, SC
National Provider Identifier
1164416020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1936
- Practice address
- 404 McCravy Dr Ste B
Spartanburg, SC 29303 - Phone
- (864) 585-2249
- NPI assigned
- Sep 7, 2005
- Reactivated
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5318 | OH | |
| Optometrist | 152W00000X | 1936 | SC | Primary |
Addresses
Primary practice location
404 McCravy Dr Ste B
Spartanburg, SC 29303
Mailing address
384 Lakeland Dr
Pisgah Forest, NC 28768-9871
Phone (614) 327-5529
Other practice location 1
6877 N High St
Suite 100
Worthington, OH 43085-2516
Phone (614) 885-7997
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D19362 | Medicaid | SC | |
| 2345895 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- 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
- Ohio State University - College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
404 McCravy Dr
Suite B
Spartanburg, SC 29303-3178
Phone (864) 585-2249
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5318 | OH | MD | Optometrist |
| 1936 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald J. Kamer, O.D. LLC | Optometrist | Current | Accepting new patients |
Locations
404 McCravy Dr
Ste B
Spartanburg, SC 29303
Phone (864) 283-9573
Organizations & group practices 1
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
- Spartanburg, SC
- NPI 1154804979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1164416020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "384 LAKELAND DR",
"city": "PISGAH FOREST",
"state": "NC",
"postal_code": "287689871",
"telephone_number": "614-327-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 MCCRAVY DR STE B",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29303",
"telephone_number": "864-585-2249"
}
],
"practiceLocations": [
{
"address_1": "6877 N High St",
"address_2": "SUITE 100",
"address_purpose": "LOCATION",
"city": "Worthington",
"state": "OH",
"postal_code": "430852516",
"country_code": "US",
"telephone_number": "614-885-7997",
"fax_number": "614-885-8595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMER",
"first_name": "DONALD",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2018-09-07",
"deactivation_date": "2006-03-25",
"reactivation_date": "2006-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5318",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D19362",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2345895",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.