Cameron Waters Clinard, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2486 Issued in NC

Practice address

1340 N Main St
Fuquay Varina, NC 27526-2617

Phone

(919) 552-3181

NPI assigned

Jun 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Cameron Blake Waters Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Optometry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson Optometric Associates PAGroup PAC ID 1153383054, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Johnson Optometric Associates PA

  • Optometrist
  • Garner, NC
  • NPI 1750333126
  Medicare reassignment Care Compare group NPD
• Johnson Optometric Associates PA

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1457448300
  NPD

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

{
    "created_epoch": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1194245712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 AIR PARK RD",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275269464",
            "telephone_number": "252-721-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262617",
            "telephone_number": "919-552-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINARD",
        "first_name": "CAMERON",
        "middle_name": "WATERS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-24",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2486",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMERON",
            "last_name": "WATERS",
            "middle_name": "BLAKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lance Clark, MA, LCMHC, BCTMH, QS
• Skylor Maxx Clark, LCSWA
• Rebecca Clarke, M.S., CCC-SLP
• Clearly Kommon LLC
• Michele Elane Clephane, L.M.B.T.
• Valerie B Clinard, PHARMD
• Steven Cline, MA, LMFTA
• Clubworx LLC
• Alexis Cole, RBT
• Elise Marie Cole, PH.D.

• Optometrist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.

Verify at the official NPI Registry.