Active NPI
Lisa Cammett, O.D.
- Optometrist
- South Bend, IN
National Provider Identifier
1861420283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002914
- Practice address
- 4123 S Michigan St
South Bend, IN 46614-2545 - Phone
- (574) 291-8900
- Fax
- (574) 299-8503
- NPI assigned
- Jun 28, 2006
- Last updated
- Jul 8, 2007
- 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 | 18002914 | IN | Primary |
Addresses
Primary practice location
4123 S Michigan St
South Bend, IN 46614-2545
Mailing address
4123 S Michigan St
South Bend, IN 46614-2545
Phone (574) 291-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher J. Wolf, OD, Inc | Optometrist | Past | Accepting new patients |
| Douglas a Zale MD Inc | Optometrist | Past | Accepting new patients |
| Douglas a Zale MD Inc | Past | Accepting new patients | |
| Northern Indiana Optometrists, PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Optometrist
- South Bend, IN
- NPI 1023069283
-
dba Zale Eye Center
- Ophthalmology Physician
- Chesterton, IN
- NPI 1164591848
Optometrist
-
- Optometrist
- South Bend, IN
- NPI 1841215738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861420283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4123 S MICHIGAN ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466142545",
"telephone_number": "574-291-8900",
"fax_number": "574-299-8503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4123 S MICHIGAN ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466142545",
"telephone_number": "574-291-8900",
"fax_number": "574-299-8503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMMETT",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
- Megan Calkins, FNP-BC
- Katharine Aileen Callaghan, MD
- Callista Gordon Therapy, LLC
- Pamela Calvano, L. M. F. T.
- Richmond Edward Calvin, LCSW LMFT LHMC
- Julisa Cynthia Campbell, RBT
- Heather A Campion, M.D.
- Kathy J Canady-Nagy, LCSW
- Cancer Society of St. Joseph County (RiverBend Cancer Services)
- Lisa Renee Canda, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.