Individual provider Active NPI

Dallin Jayson Dhuart, OD

  • Optometrist
  • Camarillo, CA
National Provider Identifier
1730072802
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35951 Issued in CA
Practice address
4976 Verdugo Way
Camarillo, CA 93012-8632
Phone
(805) 482-4628
Fax
(805) 482-4628
NPI assigned
May 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35951 CA Primary

Addresses

Primary practice location

4976 Verdugo Way
Camarillo, CA 93012-8632

Mailing address

4976 Verdugo Way
Camarillo, CA 93012-8632
Phone (805) 616-0605

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251111003180 CA Practitioner - Optometry 0840781423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1591 Brookhaven Ave
Camarillo, CA 93010-3669

4976 Verdugo Way
Camarillo, CA 93012-8632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35951CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael B. Freeland O.D. Inc Optometrist CurrentSince Jul 25, 2025 Accepting new patients
Family Optometry Group Optometrist PastSince Jun 3, 2025 Accepting new patients

Locations

4976 Verdugo Way
Camarillo, CA 93012
Phone (805) 482-4620

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1730072802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4976 VERDUGO WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128632",
            "telephone_number": "805-616-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4976 VERDUGO WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128632",
            "telephone_number": "805-482-4628",
            "fax_number": "805-482-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHUART",
        "first_name": "DALLIN",
        "middle_name": "JAYSON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.