Angel A Camblor, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD 257 Issued in HI

Practice address

479 Mililani St
Hilo, HI 96720-4326

Phone

(808) 935-1111

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in HI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922185503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 MILILANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204326",
            "telephone_number": "808-935-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 MILILANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204326",
            "telephone_number": "808-935-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBLOR",
        "first_name": "ANGEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD 257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "OD-257",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05649501",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bria Lani Callaway, LMT
• Calm Water Counseling LLC
• Brenda M K Camacho, MD
• David W Camacho, MD
• Wade Cambern
• Bencrosle Camero
• Kaila Campbell-Torres
• Jane Campbell
• Stephanie M Campbell, MS
• Alealani Candaroma

• Optometrist in Hilo, HI
• Providers in Hilo, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.