Orlando Camacho, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT09161 Issued in CA

Practice address

2051 Galleria at Tyler
Inside Lenscrafters
Riverside, CA 92503-9250

Phone

(951) 352-1090

Fax

(909) 352-1195

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

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.

• Paul T Urrea M D M P H Inc

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1619074838

  CA, Optometrist

  Medicare reassignment NPD
• Orlando Camacho, OD, a Professional Corporation

  • Optometrist
  • Riverside, CA
  • NPI 1689184004
  NPD Authorized official
• Luxottica of America Inc.

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1316020274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 OAKFORD CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398874",
            "telephone_number": "909-899-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 GALLERIA AT TYLER",
            "address_2": "INSIDE LENSCRAFTERS",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925039250",
            "telephone_number": "951-352-1090",
            "fax_number": "909-352-1195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Tyler St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "92503",
            "country_code": "US",
            "telephone_number": "951-352-6329",
            "fax_number": "951-352-6335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "ORLANDO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT09161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0091611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisol Camacho-Reeves
• Annalyssa Camacho
• Bryan Camacho
• Edgar Camacho
• Lizeth E Camacho
• Veronica Camacho
• Francine Camaj
• Richard Joseph Camara Jr., M.D.
• Gracie Camarena
• Maria Elia Camarena

• Optometrist in Riverside, CA
• Providers in Riverside, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.