Cameron Lane Byergo, OD
Individual provider Active NPI Optometrist · Webb City, MO
NPI 1972184836 · NPPES record last updated Jul 12, 2021
Key facts
- NPI
- 1972184836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2021023560 (MO)
- Practice address
- 121 W Broadway St
Webb City, MO 64870-1907 - Phone
- (417) 250-2828
- NPI assigned
- Apr 21, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Swearingen and Burton LLC
Practice addresses (Care Compare)
121 W Broadway St
Vision Solutions
Webb City, MO 64870-1907
Phone (417) 250-2828
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210707000602 | MO | Practitioner - Optometry | 0749682268 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021023560 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swearingen and Burton LLC | Optometrist | Current |
Accepting new patients |
| Nevada Optometric Center, Inc. | Past |
Accepting new patients |
Locations
808 Gulf St
Lamar, MO 64759
Phone (417) 682-3301
120 S Washington St
Nevada, MO 64772
Phone (417) 667-2560
121 W Broadway St
Webb City, MO 64870
Phone (417) 250-2828
Interoperability endpoints
- cameron.byergo@direct.revolutionehr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 2021023560 | MO | |
| Optometrist | 152W00000X | 2021023560 | MO | Yes |
Addresses
Primary practice location
121 W Broadway St
Webb City, MO 64870-1907
Mailing address
808 Gulf St
Lamar, MO 64759-1239
Phone (417) 682-3301
Other practice location 1
120 S Washington St
Nevada, MO 64772-3330
Phone (417) 667-2560
Other practice location 2
808 Gulf St
LaMar, MO 64759-1239
Phone (417) 682-3301
Other providers in Webb City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.