Individual provider Active NPI

Cameron Cramer

  • Optometrist
  • Hurst, TX
National Provider Identifier
1639925779
Registry record updated Aug 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11174 Issued in TX
Practice address
751 Mid Cities Blvd Ste a
Hurst, TX 76054-2748
Phone
(817) 656-2020
NPI assigned
Apr 29, 2024
Last updated
Aug 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11174 TX Primary

Addresses

Primary practice location

751 Mid Cities Blvd Ste a
Hurst, TX 76054-2748

Mailing address

5909 Kays CT
Colleyville, TX 76034-7661
Phone (817) 917-2708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240905001799 TX Practitioner - Optometry 1153861182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

1534 E Southlake Blvd
Southlake, TX 76092-6421
Phone (817) 481-2070

6509 Precinct Line Rd
North Richland Hills, TX 76182-4313
Phone (817) 369-3494

751 Mid Cities Blvd
Hurst, TX 76054-2748
Phone (817) 656-2020

8329 Whitley Rd
Watauga, TX 76148-2483
Phone (817) 431-2020

9816 N Beach St
Fort Worth, TX 76244-6184
Phone (817) 741-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Aug 15, 2024 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Aug 15, 2024 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

751 Mid Cities Blvd
Ste A
Hurst, TX 76054
Phone (817) 656-2020

1247 Main St
Southlake, TX 76092
Phone (817) 481-2070

1534 E Southlake Blvd
Southlake, TX 76092
Phone (817) 481-2070

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8329 Whitley Rd
Watauga, TX 76148
Phone (817) 431-2020

Organizations & group practices 4

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": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1639925779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 KAYS CT",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347661",
            "telephone_number": "817-917-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 MID CITIES BLVD STE A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542748",
            "telephone_number": "817-656-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "CAMERON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.