Jesse A Camen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14755 Issued in CA

Practice address

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

Phone

(619) 997-8081

NPI assigned

Sep 23, 2008

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Camen Optometry PC

  • Optometrist
  • San Diego, CA
  • NPI 1073337457
  Medicare reassignment NPD
• Jesse a. Camen, O.D., Optometry Corp

  • Optometrist
  • La Jolla, CA
  • NPI 1558181966
  NPD Authorized official

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659521987",
    "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": "2810 Camino Del Rio S",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083818",
            "country_code": "US",
            "telephone_number": "619-255-6584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMEN",
        "first_name": "JESSE",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callison Health Inc.
• Ma.Cristina Calma, ANP
• Calminds
• Mariam Bonyadi Camacho, MD, PHD
• Rachel Camarena
• Camino Renal Care LLC
• Caitlin Marie Campbell, M.S.
• Jean Campbell, PH.D.
• Anthony M Canarelli, PSY.D
• Julia Candelaria, DACM, L.AC

• 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 Mar 17, 2018; 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.