Coni L Bloomingcamp, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8631T Issued in CA

Practice address

2205 4TH St
Livermore, CA 94550-4552

Phone

(925) 454-1598

Fax

(925) 454-1593

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbloomingcamp@vecma.intellechartdirect.net

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.

• Gagnon Vision Medical Group Inc

  • Ophthalmology Physician
  • Livermore, CA
  • NPI 1588091367

  Optometrist

  Medicare reassignment NPD
• Gagnon Vision Medical Group Inc

  • Ophthalmology Physician
  • Pleasanton, CA
  • NPI 1932549292

  Optometrist

  NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609943398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 4TH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504552",
            "telephone_number": "925-454-1598",
            "fax_number": "925-454-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 4TH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504552",
            "telephone_number": "925-454-1598",
            "fax_number": "925-454-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMINGCAMP",
        "first_name": "CONI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8631T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydnie Black
• Frances Blaisdell
• Timothy A Blasquez, RAS
• Michael David Bleecker, M.D.
• Bloomingcamp Optometry a Professional Corporation
• Jaineen Paula Bloss, D.C.
• Audrey Boe
• Jordan Boehler, LCSW
• Jade Elizabeth Ayres Bohl, PPS
• Aditi Reddy Bommireddy, MD

• Optometrist in Livermore, CA
• Providers in Livermore, CA by specialty
• Optometrist in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.