Active NPI
Robert McCamy, O.D.
- Optometrist
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 422
- Practice address
- 3402 13TH Ave S Suite D
Fargo, ND 58103 - Phone
- (701) 234-0939
- Fax
- (701) 234-9442
- NPI assigned
- Jan 31, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 422 | ND | Primary |
| Optometrist | 152W00000X | 348 | MN |
Addresses
Primary practice location
3402 13TH Ave S Suite D
Fargo, ND 58103
Mailing address
2402 34TH Ave S
Fargo, ND 58104-6501
Phone (701) 234-0939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14243 | Other | ND | BS OF ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1004 18TH Ave NW
Suite D
Austin, MN 55912-1993
Phone (507) 437-8228
830 Washington Ave
Detroit Lakes, MN 56501-3014
Phone (218) 847-2127
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 422 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| 3-D Optical Inc | Optometrist | Past | Accepting new patients |
| I C 20 20 Eau Claire Inc | Optometrist | Past | Accepting new patients |
Locations
1004 18th Ave NW
Ste D
Austin, MN 55912
Phone (507) 437-8228
830 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 847-2127
501 Highway 10 S
Saint Cloud, MN 56304
Phone (320) 253-4695
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497892335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 34TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581046501",
"telephone_number": "701-234-0939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 13TH AVE S SUITE D",
"city": "FARGO",
"state": "ND",
"postal_code": "58103",
"telephone_number": "701-234-0939",
"fax_number": "701-234-9442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAMY",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ND",
"license": "422",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "348",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF ND",
"identifier": "14243",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.