Basic Information
| Provider Information | |||||||||
| NPI: | 1083353320 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DAMMEYER | ||||||||
| FirstName: | CAMERON | ||||||||
| MiddleName: | ROBERT | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | OD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7171 WINDFLOWER PL NW | ||||||||
| Address2: | |||||||||
| City: | SEABECK | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983809596 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606893875 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10300 SILVERDALE WAY NW | ||||||||
| Address2: | |||||||||
| City: | SILVERDALE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983837990 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606332933 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2022 | ||||||||
| LastUpdateDate: | 06/03/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | OD61313030 | WA | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.