Active NPI
Cameron Keith Housley, OD
- Optometrist
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP-100513
- Practice address
- 2405 Jafer CT
Idaho Falls, ID 83404-5587 - Phone
- (208) 529-2700
- Fax
- (208) 529-0873
- NPI assigned
- Jul 15, 2020
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP-100513 | ID | Primary |
Addresses
Primary practice location
2405 Jafer CT
Idaho Falls, ID 83404-5587
Mailing address
720 N Meridian St Ste a
Blackfoot, ID 83221-4936
Other practice location 1
360 S Arthur Ave
Pocatello, ID 83204-3307
Phone (208) 232-6675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201009001241 | ID | Practitioner - Optometry | 1951721125 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivie Family Vision PAIdaho Family Vision PLLC
Practice addresses (Care Compare)
2405 Jafer CT
Idaho Falls, ID 83404-5587
Phone (208) 529-2700
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP-100513 | ID | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Family Vision PLLC | Optometrist | Current | Accepting new patients |
| Ivie Family Vision PA | Optometrist | Current | Accepting new patients |
| Complete Family Eye Care, PA | Optometrist | Current | Accepting new patients |
Locations
720 N Meridian St
#A
Blackfoot, ID 83221
Phone (208) 785-7274
2405 Jafer Ct
Idaho Falls, ID 83404
Phone (208) 529-2700
360 S Arthur Ave
Pocatello, ID 83204
Phone (208) 232-6675
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
- Blackfoot, ID
- NPI 1477793222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1326656356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 N MERIDIAN ST STE A",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832214936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 JAFER CT",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834045587",
"telephone_number": "208-529-2700",
"fax_number": "208-529-0873"
}
],
"practiceLocations": [
{
"address_1": "360 S Arthur Ave",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832043307",
"country_code": "US",
"telephone_number": "208-232-6675",
"fax_number": "208-232-5800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUSLEY",
"first_name": "CAMERON",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-15",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP-100513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.