Campbell Optometric Group

Primary specialty

OptometristTaxonomy code 152W00000X

License

5902T Issued in CA

Legal business name

CAMPBELL OPTOMETRIC GROUP

Doing business as

same as above

Practice address

621 E Campbell Ave
#11-B
Campbell, CA 95008-2139

Phone

(408) 378-4661

NPI assigned

Nov 19, 2009

Last updated

Nov 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sherry Gould

Title

Office Manager

Phone

(408) 378-4661

Specialties & licenses 1

Addresses

Other names 1

• same as above Doing business as

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1023346699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E CAMPBELL AVE",
            "address_2": "#11-B",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082139",
            "telephone_number": "408-378-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E CAMPBELL AVE",
            "address_2": "#11-B",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082139",
            "telephone_number": "408-378-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-378-4661"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5902T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same as above",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ariel Jana Camarillo
• Camden Pharmacy
• Camden Postacute Care, Inc.
• Melissa Jean Cameron, O.T.
• Campbell Medicals LLC
• Campbell Optometric Group
• Campbell Surgery Center
• Campbell Teen & Family Therapy
• Campbell Union School District
• Gabrielle Campbell

• Optometrist in Campbell, CA
• Providers in Campbell, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.