Individual provider Active NPI

Donald James Kamer, O.D.

  • Optometrist
  • Spartanburg, SC
National Provider Identifier
1164416020
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1936 Issued in SC
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

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
D19362MedicaidSC
2345895MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181023002593 SC Practitioner - Optometry 0941221899 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
5318OHMDOptometrist
1936SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Donald J. Kamer, O.D. LLC Optometrist CurrentSince Aug 27, 2018 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.

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

Verify at the official NPI Registry.