Jesse a. Camen, O.D., Optometry Corp

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JESSE A. CAMEN, O.D., OPTOMETRY CORP

Practice address

5702 La Jolla Blvd Ste 102
La Jolla, CA 92037-7322

Phone

(619) 997-8081

NPI assigned

Oct 11, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jesse Camen, O.D.NPI 1659521987

Title

Owner/President

Phone

(619) 997-8081

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse A Camen, O.D.

  • Optometrist
  • La Jolla, CA
  • NPI 1659521987
  NPD Authorized official

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1558181966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 LA JOLLA BLVD STE 102",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377322",
            "telephone_number": "619-997-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 LA JOLLA BLVD STE 102",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377322",
            "telephone_number": "619-997-8081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2195 Station Village Way Ste B",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921086569",
            "country_code": "US",
            "telephone_number": "619-997-8081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JESSE A. CAMEN, O.D., OPTOMETRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "CAMEN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "619-997-8081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Cambridge Jer
• Julie Jerkins, DACM, L.AC.
• Terry Jernigan, PHD
• Sheila Jeschke, NP
• Christine A Jesko, OT, CHT
• Anushya Jeyabalan, M.D.
• Angela Jimenez, RSLD
• Manuel Jimenez, RN
• Alyssa Joachim
• Farahnaz Shireen Joarder, M.D.

• Optometrist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.