Individual provider Active NPI

Cameron Joseph Evans, D.O.

  • Ophthalmology Physician
  • O'Fallon, IL
National Provider Identifier
1528447174
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036.165041 Issued in IL
Practice address
705 Insight Ave
O Fallon, IL 62269-2146
Phone
(618) 391-1660
Fax
(618) 861-6003
NPI assigned
May 28, 2015
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2023029272 MO
Ophthalmology Physician 207W00000X 036.165041 IL Primary

Addresses

Primary practice location

705 Insight Ave
O Fallon, IL 62269-2146

Mailing address

705 Insight Ave
O Fallon, IL 62269-2146
Phone (618) 391-1660

Other practice location 1

12400 Olive Blvd
Saint Louis, MO 63141-5454
Phone (314) 391-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230703002049 IL Practitioner - Ophthalmology 5698088458 Reassigns benefits to 1 organization
I20251215000863 MO Practitioner - Ophthalmology 5698088458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ideal Eye Surgery LLCGroup PAC ID 7315200888, 13 clinicians

Practice addresses (Care Compare)

12400 Olive Blvd
Suite 200
Creve Coeur, MO 63141-5436
Phone (314) 391-9400

705 Insight Ave
O Fallon, IL 62269-2146
Phone (618) 391-1660

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery960

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.165041ILMDOphthalmology Physician
2023029272MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Eye Surgery LLC Ophthalmology CurrentSince Jun 10, 2023 Accepting new patients
Retina Consultants, LLC PastSince Jun 10, 2023 Accepting new patients
Springfield Clinic, LLP Past Accepting new patients

Locations

1 Professional Dr
Ste 260
Alton, IL 62002
Phone (314) 921-2020

203 Bailey Ln
Ste 2
Benton, IL 62812
Phone (618) 438-5679

289 N Main St
Breese, IL 62230

100 Deerpath
Charleston, IL 61920
Phone (217) 345-2727

900 W Temple Ave
Ste 104
Effingham, IL 62401
Phone (217) 347-5525

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

250 E Elm St
Nashville, IL 62263
Phone (618) 327-3231

705 Insight Ave
O Fallon, IL 62269
Phone (618) 738-0337

201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555

12101 Woodcrest Executive Dr
Ste 150
Saint Louis, MO 63141
Phone (314) 391-9400

12400 Olive Blvd
Ste 200
Saint Louis, MO 63141
Phone (314) 391-9400

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1528447174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 INSIGHT AVE",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692146",
            "telephone_number": "618-391-1660",
            "fax_number": "618-861-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 INSIGHT AVE",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692146",
            "telephone_number": "618-391-1660",
            "fax_number": "618-861-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12400 Olive Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631415454",
            "country_code": "US",
            "telephone_number": "314-391-9400",
            "fax_number": "618-861-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CAMERON",
        "middle_name": "JOSEPH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2023029272",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.165041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, IL

Sources for this page

Verify at the official NPI Registry.