NPIMap

Organization Active NPI

Orlando Camacho, OD, a Professional Corporation

Doing business as eyeDOC OPTOMETRY

  • Optometrist
  • Riverside, CA
National Provider Identifier
1689184004
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9161 Issued in CA
Legal business name
ORLANDO CAMACHO, OD, A PROFESSIONAL CORPORATION
Doing business as
eyeDOC OPTOMETRY
Practice address
2051 Galleria at Tyler
Riverside, CA 92503-4143
Phone
(951) 352-1993
Fax
(951) 352-1195
NPI assigned
Oct 11, 2017
Last updated
Jun 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Dr. Orlando Camacho, ODNPI 1316020274
Title
President/Optometrist
Phone
(951) 352-1090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9161 CA Primary

Addresses

Primary practice location

2051 Galleria at Tyler
Riverside, CA 92503-4143

Mailing address

7521 Oakford CT
Rancho Cucamonga, CA 91739-8874
Phone (909) 899-5317

Other identifiers 1

IdentifierTypeStateIssuer
SD0091611MedicaidCA

Other names 1

  • eyeDOC OPTOMETRY Doing business as

National Provider Directory

National Provider Directory

Locations

2051 Galleria At Tyler
Riverside, CA 92503
Phone (951) 352-1090

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1689184004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 OAKFORD CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398874",
            "telephone_number": "909-899-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 GALLERIA AT TYLER",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034143",
            "telephone_number": "951-352-1993",
            "fax_number": "951-352-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO CAMACHO, OD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "951-352-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0091611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eyeDOC OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.