Individual provider Active NPI

Cameron Keith Housley, OD

  • Optometrist
  • Idaho Falls, ID
National Provider Identifier
1326656356
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100513 Issued in ID
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

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PAGroup PAC ID 2163747551, 2 clinicians
Idaho Family Vision PLLCGroup PAC ID 6103347463, 3 clinicians

Practice addresses (Care Compare)

2405 Jafer CT
Idaho Falls, ID 83404-5587
Phone (208) 529-2700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-100513IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Family Vision PLLC Optometrist CurrentSince Jan 28, 2025 Accepting new patients
Ivie Family Vision PA Optometrist CurrentSince Mar 1, 2022 Accepting new patients
Complete Family Eye Care, PA Optometrist CurrentSince Jul 1, 2020 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.

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

Verify at the official NPI Registry.