Individual provider Active NPI

Cameryn Press Rezzo, OD

  • Optometrist
  • Fresno, CA
National Provider Identifier
1881315240
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35257 Issued in CA
Practice address
6767 N Fresno St Ste 101
Fresno, CA 93710-3740
Phone
(559) 332-5610
NPI assigned
Sep 5, 2022
Last updated
Sep 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35257 CA Primary

Addresses

Primary practice location

6767 N Fresno St Ste 101
Fresno, CA 93710-3740

Mailing address

6699 N Woodson Ave
Fresno, CA 93711-1152
Phone (559) 240-5911

Other names 1

  • Cameryn Press Ahles Former name

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
I20221115002571 CA Practitioner - Optometry 4587032065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David B Kaye MD IncGroup PAC ID 3577544691, 5 clinicians

Practice addresses (Care Compare)

6767 N Fresno St
Fresno, CA 93710-3739
Phone (559) 432-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35257CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David B Kaye, MD, Inc Optometrist CurrentSince Oct 27, 2022 Accepting new patients

Locations

6767 N Fresno St
Fresno, CA 93710
Phone (559) 432-1000

6767 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 332-5610

1011 W Yosemite Ave
Madera, CA 93637
Phone (559) 673-6000

2514 Jensen Ave
Ste 103
Sanger, CA 93657
Phone (559) 875-1970

Organizations & group practices 1

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": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1881315240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 N WOODSON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937111152",
            "telephone_number": "559-240-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 N FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103740",
            "telephone_number": "559-332-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZZO",
        "first_name": "CAMERYN",
        "middle_name": "PRESS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMERYN",
            "last_name": "AHLES",
            "middle_name": "PRESS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.