John Cammisa III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3583 Issued in MA

Practice address

1624 Main St
Springfield, MA 01103-1224

Phone

(413) 737-3937

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Optometry

Education

New England College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• City Opticians, PC

  • Optometrist
  • Springfield, MA
  • NPI 1346464393
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669592127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 GRANVILLE RD",
            "city": "SOUTHWICK",
            "state": "MA",
            "postal_code": "010779213",
            "telephone_number": "413-569-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031224",
            "telephone_number": "413-737-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMISA",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS,SHIELD,HMOBLUE",
            "identifier": "W15914",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391751",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra D Cameron, M.D.
• Veleka Latoya Cameron
• Michelle E. Camerota, M.ED.
• Sarah Camerota, MSW, LICSW
• Erlynne Myra Camilleri, R.N.
• Audra Rita Camp, PA
• Aleyah Campbell
• Gregory J Campbell, M.D.
• Karine Campbell
• Kisra Felicita Campbell

• Optometrist in Springfield, MA
• Providers in Springfield, MA by specialty
• Optometrist in Massachusetts

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.