Joe H Campbell OD LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OPT000938 Issued in GA

Legal business name

JOE H CAMPBELL OD LLC

Practice address

946 Benson St
Hartwell, GA 30643-2023

Phone

(706) 376-5471

Fax

(706) 376-5483

NPI assigned

Feb 6, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joe H Campbell, ODNPI 1730187279

Title

Owner

Phone

(706) 376-5471

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joe H Campbell, OD LLC

  • Optometrist
  • Hartwell, GA
  • NPI 1730187279
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1003094517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306430727",
            "telephone_number": "706-376-5471",
            "fax_number": "706-376-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 BENSON ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306432023",
            "telephone_number": "706-376-5471",
            "fax_number": "706-376-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE H CAMPBELL OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "17063765471",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "OPT000938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Hartwell, GA
• Providers in Hartwell, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.