Active NPI
Camilla Jaye Dunn, O.D.
- Optometrist
- Sebastian, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3487
- Practice address
- 14410 US Highway 1
Sebastian, FL 32958-3237 - Phone
- (772) 589-8111
- Fax
- (772) 589-7561
- NPI assigned
- Jun 4, 2006
- Last updated
- Jan 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 3487 | FL | Primary |
Addresses
Primary practice location
14410 US Highway 1
Sebastian, FL 32958-3237
Mailing address
14410 US Highway 1
Sebastian, FL 32958-3237
Phone (772) 589-8111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620809600 | Medicaid | FL | |
| 20986 | Other | FL | BCBS OF FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Nova Southeastern Univ College of Dental Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1982 US Hwy 1
Suite 101
Rockledge, FL 32955-3760
Phone (321) 363-7200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 3487 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Eye Center PLLC | Optometrist | Current | Accepting new patients |
| William D. Tanke, OD, PA | Optometrist | Current | Accepting new patients |
| Curington Eye Associates PA | Optometrist | Current | Accepting new patients |
| Curington Eye Associates P a | Optometrist | Current | Accepting new patients |
| Brevard Eye Center | Past | Accepting new patients |
Locations
228 S Courtenay Pkwy
Merritt Island, FL 32952
Phone (321) 454-3002
1982 US Highway 1
Ste 10
Rockledge, FL 32955
Phone (321) 363-7200
1982 US Highway 1
Ste 101
Rockledge, FL 32955
Phone (321) 636-7200
14410 US Highway 1
Sebastian, FL 32958
Phone (561) 589-8111
1813 W New Haven Ave
West Melbourne, FL 32904
Phone (321) 951-2020
Organizations & group practices 5
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.
-
dba Riverside Eye Center
- Ophthalmology Physician
- Sebastian, FL
- NPI 1093198350
Optometrist
-
- Optometrist
- West Melbourne, FL
- NPI 1306133285
-
- Eyewear Supplier
- Merritt Island, FL
- NPI 1194940569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1700824208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14410 US HIGHWAY 1",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329583237",
"telephone_number": "772-589-8111",
"fax_number": "772-589-7561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14410 US HIGHWAY 1",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329583237",
"telephone_number": "772-589-8111",
"fax_number": "772-589-7561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "CAMILLA",
"middle_name": "JAYE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 3487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620809600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "20986",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebastian, FL
- Richard J Donovan, P.T.
- Douglas Canterbury-Counts, PH.D., P.a. (Center for Sacred Psychology)
- Cynthia Godwin Douglas, LPN
- Dr. Michael Alan Layton MD
- Amber Lee Dunn, M. D.
- Dva Renal Healthcare Inc (Sebastian Dialysis)
- Ear, Nose and Throat Center P.a.
- Clint Earl, PHARMD
- Jorge Andres Echeverry, PA-C
- Edgar R Blecker MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.