Provider Demographics
NPI:1467808311
Name:HOOVER, CAMERON (OD PHD)
Entity Type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:
Last Name:HOOVER
Suffix:
Gender:M
Credentials:OD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2755 COMMERCIAL ST SE STE 102
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-4982
Mailing Address - Country:US
Mailing Address - Phone:503-363-9011
Mailing Address - Fax:503-362-6376
Practice Address - Street 1:2755 COMMERCIAL ST SE STE 102
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-4982
Practice Address - Country:US
Practice Address - Phone:503-363-9011
Practice Address - Fax:503-362-6376
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3657ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist