William H Campbell, M.D.

Individual provider Active NPI Ophthalmology Physician · Ottawa, KS

NPI 1033170378 · NPPES record last updated Nov 28, 2007

Key facts

NPI
1033170378
Entity type
Individual (NPI type 1)
Primary specialty
Ophthalmology Physician 207W00000X
License
04-13504 (KS)
Practice address
1401 S Main St
Ottawa, KS 66067-3528
Phone
(785) 242-4242
Fax
(785) 242-7885
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-13504KSMDOphthalmology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 04-13504 KS Yes

Addresses

Primary practice location

1401 S Main St
Ottawa, KS 66067-3528

Mailing address

1401 S Main St
Ottawa, KS 66067-3528
Phone (785) 242-4242

Other identifiers

IdentifierTypeStateIssuer
B68656OtherHUMANA
461233OtherCHILDREN'S MERCY
33843015OtherPHP
P00152754OtherRAILROAD MEDICARE
33843015OtherBCBS-KANSAS CITY
3562421OtherAETNA
103708OtherKSBCBS-KS

Other providers in Ottawa, KS

All providers in Ottawa, KS · Ophthalmology Physician in Kansas

Sources for this page

Verify at the official NPI Registry.