Individual provider Active NPI

Camilla Jaye Dunn, O.D.

  • Optometrist
  • Sebastian, FL
National Provider Identifier
1700824208
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3487 Issued in FL
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
620809600MedicaidFL
20986OtherFLBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110113000438 FL Practitioner - Optometry 1759570369 Reassigns benefits to 3 organizations

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
Curington Eye Associates PAGroup PAC ID 4284755364, 3 clinicians

Practice addresses (Care Compare)

1982 US Hwy 1
Suite 101
Rockledge, FL 32955-3760
Phone (321) 363-7200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3487FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Eye Center PLLC Optometrist CurrentSince Jul 23, 2015 Accepting new patients
William D. Tanke, OD, PA Optometrist CurrentSince Feb 1, 2012 Accepting new patients
Curington Eye Associates PA Optometrist CurrentSince Aug 2, 2021 Accepting new patients
Curington Eye Associates P a Optometrist CurrentSince Aug 2, 2021 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.

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

Sources for this page

Verify at the official NPI Registry.