Individual provider Active NPI

Cameron Hoover, OD PHD

  • Optometrist
  • Salem, OR
National Provider Identifier
1467808311
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3657ATI Issued in OR
Practice address
2755 Commercial St SE Ste 102
Salem, OR 97302-4982
Phone
(503) 363-9011
Fax
(503) 362-6376
NPI assigned
May 10, 2016
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3657ATI OR Primary

Addresses

Primary practice location

2755 Commercial St SE Ste 102
Salem, OR 97302-4982

Mailing address

2755 Commercial St SE Ste 102
Salem, OR 97302-4982
Phone (503) 363-9011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20160816002287 OR Practitioner - Optometry 6709171697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2755 Commercial St SE
Suite 102
Salem, OR 97302-4982
Phone (503) 363-9011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1467808311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 COMMERCIAL ST SE STE 102",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024982",
            "telephone_number": "503-363-9011",
            "fax_number": "503-362-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 COMMERCIAL ST SE STE 102",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024982",
            "telephone_number": "503-363-9011",
            "fax_number": "503-362-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "OD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3657ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.