Active NPI
Elizabeth Camara, OD
- Optometrist
- Reseda, CA
National Provider Identifier
1952383507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0P8970
- Practice address
- 18855 Victory Blvd
Reseda, CA 91335-6445 - Phone
- (310) 751-6704
- Fax
- (310) 751-6704
- NPI assigned
- Nov 18, 2005
- 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 | 0P8970 | CA | Primary |
Addresses
Primary practice location
18855 Victory Blvd
Reseda, CA 91335-6445
Mailing address
4317 Neosho Ave
Los Angeles, CA 90066-6131
Phone (310) 751-6704
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410046447 | Other | CA | PALMETTO |
| SD0089700 | Other | CA | MEDI CAL |
| 1306035118 | Other | CA | NPI-ADVANCED EYECARE GROUP |
| 6191070001 | Other | CA | DMEPOS-ADVANCED EYECARE GROUP PTAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0P8970 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Network Services Medical Group | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Placentia, CA
- NPI 1457445215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1952383507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4317 NEOSHO AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900666131",
"telephone_number": "310-751-6704",
"fax_number": "310-751-6704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18855 VICTORY BLVD",
"city": "RESEDA",
"state": "CA",
"postal_code": "913356445",
"telephone_number": "310-751-6704",
"fax_number": "310-751-6704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMARA",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "0P8970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "410046447",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL",
"identifier": "SD0089700",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI-ADVANCED EYECARE GROUP",
"identifier": "1306035118",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMEPOS-ADVANCED EYECARE GROUP PTAN",
"identifier": "6191070001",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.