Individual provider Active NPI

Donald Andrew Kammer Jr., O.D.

  • Optometrist
  • Cleveland, OH
National Provider Identifier
1831256908
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4466T1122 Issued in OH
Practice address
3760 Rocky River Dr
West Park Vision Clinic
Cleveland, OH 44111-4050
Phone
(216) 941-3303
Fax
(216) 671-7447
NPI assigned
Jan 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4466T1122 OH Primary

Addresses

Primary practice location

3760 Rocky River Dr
West Park Vision Clinic
Cleveland, OH 44111-4050

Mailing address

3174 Winsted Dr
Brunswick, OH 44212-4394
Phone (330) 225-3252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070226000046 OH Practitioner - Optometry 1557463312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry Midwest IncGroup PAC ID 0749504165, 78 clinicians

Practice addresses (Care Compare)

1650 S Union Ave
Alliance, OH 44601-4349
Phone (330) 821-2020

3760 Rocky River Dr
Cleveland, OH 44111-4050
Phone (216) 941-3303

7199 Pearl Rd
Suite C
Middleburg Heights, OH 44130-4970
Phone (440) 843-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4466OHMDPsychologist
4466T1122OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Aug 30, 2022 Accepting new patients
Clarkson Optometry Midwest Inc Optometrist Current Accepting new patients
20-20 Eyecare PSC Optometrist Past Accepting new patients

Locations

946 Pearl Rd
Brunswick, OH 44212
Phone (330) 273-1010

8118 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 891-9030

Interoperability endpoints

  • Direct secure messaging: donaldkammer@direct.eyecare-partners.com

Organizations & group practices 3

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": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1831256908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3174 WINSTED DR",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442124394",
            "telephone_number": "330-225-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 ROCKY RIVER DR",
            "address_2": "WEST PARK VISION CLINIC",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441114050",
            "telephone_number": "216-941-3303",
            "fax_number": "216-671-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMER",
        "first_name": "DONALD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4466T1122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.