Active NPI
Michael Richard Campbell, OD
- Optometrist
- Hilton Head Island, SC
National Provider Identifier
1013515014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2231
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2231 | Medicaid | SC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinic/Center
- Hilton Head Island, SC
- NPI 1629276605
-
- Eyewear Supplier
- Hilton Head Island, SC
- NPI 1609915172
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.