DEAN AMUNDSEN,O.D. PROFESSIONAL OPTOMETRY CORP.
NPI 1750353637
Optometrist in Camarillo, CA

Q: What is Dean Amundsen,o.D. Professional Optometry Corp.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since February 03, 2006

4000 CALLE TECATE, SUITE 100, CAMARILLO, CA 93012(805) 482-1136 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dean Amundsen,o.d. Professional Optometry Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEAN AMUNDSEN,O.D. PROFESSIONAL OPTOMETRY CORP. (NPI 1750353637) is a healthcare organization registered as an optometrist in Camarillo, California and active in the NPI registry since February 2006. The organization lists Dean Kenton Amundsen, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1750353637

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDEAN AMUNDSEN,O.D. PROFESSIONAL OPTOMETRY CORP.

Location Address4000 CALLE TECATE, SUITE 100Camarillo, CA 93012-5282

Mailing Address4000 Calle Tecate, Suite 100Camarillo, CA 93012-5282

Phone(805) 482-1136

Organization SubpartNo

Authorized OfficialDean Kenton AmundsenPresident/ceo · (805) 482-1136

Enumeration DateFebruary 3, 2006

Last NPPES UpdateAugust 4, 2008

✔ NPI 1750353637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · OPT7925TPA

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4000 CALLE TECATE, Camarillo, CA 93012

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Other Identifiers 3

Medicare UPINT70236CA

Medicare PINWY181CA

Medicare NSC4281700001CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dean Amundsen,o.d. Professional Optometry Corp. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Dean Amundsen,o.D. Professional Optometry Corp., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Tyler Kull, OD

Optometry

NPI 1134960487

4000 CALLE TECATE STE 100
Camarillo, CA 93012

(805) 482-1136

✔ PECOS✔ Accepts MedicareSame address

Dean Amundsen, O.D.

Optometry

NPI 1003021205

2460 N PONDEROSA DR SUITE A-101
Camarillo, CA 93010

(805) 482-1136

✔ PECOS✔ Accepts Medicare1.5 mi

Michael Mcquillan, O.D.

Optometry

NPI 1194707927

1200 PASEO CAMARILLO SUITE 180
Camarillo, CA 93010

(805) 484-0577

✔ PECOS2.1 mi

Jack Holden

Optometry

NPI 1487366571

1545 W 5TH ST STE 100
Oxnard, CA 93030

(805) 382-2020

✔ PECOS10 mi

Abby Chin, OD

Optometry

NPI 1902646557

5050 LAGUNA BLVD STE 113
Elk Grove, CA 95758

(916) 684-7070

✔ PECOS✔ Accepts Medicare320 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dean Amundsen,o.D. Professional Optometry Corp.'s NPI number?

The NPI number for Dean Amundsen,o.D. Professional Optometry Corp. is 1750353637. It was assigned to this organization in the NPPES registry on February 3, 2006.

Where is Dean Amundsen,o.D. Professional Optometry Corp. located?

Dean Amundsen,o.D. Professional Optometry Corp. is located at 4000 Calle Tecate Suite 100, Camarillo, CA 93012. The listed phone number is (805) 482-1136.

What is Dean Amundsen,o.D. Professional Optometry Corp.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dean Amundsen,o.D. Professional Optometry Corp. enrolled in Medicare?

Yes. Dean Amundsen,o.D. Professional Optometry Corp. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dean Amundsen,o.D. Professional Optometry Corp.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Dean Amundsen,o.D. Professional Optometry Corp.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dean Amundsen,o.D. Professional Optometry Corp. was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.