Organization Active NPI

Kimberly D. Ocampo, OD, PC

  • Optometrist
  • Decatur, AL
National Provider Identifier
1033226261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-B44-TA-731 Issued in AL
Legal business name
KIMBERLY D. OCAMPO, OD, PC
Practice address
823 6TH Ave SE
Decatur, AL 35601-3021
Phone
(256) 353-1871
Fax
(256) 350-2140
NPI assigned
Aug 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kimberly D Ocampo, O.D.NPI 1598789752
Title
President
Phone
(256) 353-1871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S-B44-TA-731 AL Primary

Addresses

Primary practice location

823 6TH Ave SE
Decatur, AL 35601-3021

Mailing address

823 6TH Ave SE
Decatur, AL 35601-3021
Phone (256) 353-1871

National Provider Directory

National Provider Directory

Locations

1241 Point Mallard Pkwy SE
Ste 113
Decatur, AL 35601
Phone (256) 260-3399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033226261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 6TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013021",
            "telephone_number": "256-353-1871",
            "fax_number": "256-350-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 6TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013021",
            "telephone_number": "256-353-1871",
            "fax_number": "256-350-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY D. OCAMPO, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OCAMPO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-353-1871",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B44-TA-731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.