Individual provider Active NPI

Michael Richard Campbell, OD

  • Optometrist
  • Hilton Head Island, SC
National Provider Identifier
1013515014
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2231 Issued in SC
Practice address
10 Hospital Center CMNS Ste 100
Hilton Head Island, SC 29926-2838
Phone
(843) 681-6682
Fax
(843) 681-9582
NPI assigned
Oct 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2231 SC Primary

Addresses

Primary practice location

10 Hospital Center CMNS Ste 100
Hilton Head Island, SC 29926-2838

Mailing address

10 Hospital Center CMNS Ste 100
Hilton Head Island, SC 29926-2838
Phone (843) 681-6682

Other practice location 1

27 Dr Mellichamp Dr
Suite 100
Bluffton, SC 29910
Phone (843) 706-0607

Other identifiers 1

IdentifierTypeStateIssuer
2231MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028002954 SC Practitioner - Optometry 2668882853 Practice locations: Bluffton, SC; Hilton Head Island, SC

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27 Dr Mellinchamp Dr
Suite 100
Bluffton, SC 29910
Phone (843) 706-0607

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Michael a. Campbell Past Accepting new patients
Optical Solutions Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1013515014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL CENTER CMNS STE 100",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262838",
            "telephone_number": "843-681-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL CENTER CMNS STE 100",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262838",
            "telephone_number": "843-681-6682",
            "fax_number": "843-681-9582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Dr Mellichamp Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "29910",
            "country_code": "US",
            "telephone_number": "843-706-0607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2231",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.