Douglas Martin Campbell, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

28726 Issued in CO

Practice address

1861 Wadsworth Blvd
Lakewood, CO 80214-5225

Phone

(303) 237-5401

Fax

(303) 237-9638

NPI assigned

Jul 20, 2005

Last updated

Sep 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

OphthalmologyAlso: Optometry

Education

College of Osteo Med of the Pacific at Pomona, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• DM Campbell DO PC

  • Ophthalmology Physician
  • Thornton, CO
  • NPI 1982238911
  Medicare reassignment NPD Authorized official
• DM Campbell DO PC

  • Ophthalmology Physician
  • Thornton, CO
  • NPI 1366136558
  NPD Authorized official
• Amedco Colorado PLLC

  dba Lakewood Eye Clinic

  • Ophthalmology Physician
  • Lakewood, CO
  • NPI 1457608341
  Authorized official Same address or phone
• Lakewood Eye Center, LLC

  • Optometrist
  • Lakewood, CO
  • NPI 1366850505

  Ophthalmology

  NPD
• Wellensiek Eye Care, LLC

  dba Lakewood Eye Center

  • Optometrist
  • Lakewood, CO
  • NPI 1699077446
  NPD

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599350400000",
    "number": "1043219066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145225",
            "telephone_number": "303-237-5401",
            "fax_number": "303-237-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145225",
            "telephone_number": "303-237-5401",
            "fax_number": "303-237-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DOUGLAS",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-09-06",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "28726",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "28726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "815434",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01287267",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180007125",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "CA02292",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO CO",
            "identifier": "AMISR5601",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cambridge Care Center LLC (Cambridge Care Center)
• Cambridge Care Center LLC (Cambridge Care Center)
• Jayce Cameron, PT
• Taylor Laine Cammack, DO
• Melissa Camp, RDN
• James Anthony Campbell, MD
• Lisa Marianne Campbell, LPCC
• Nancie Anne Campbell, RN BSN
• Nicholas Campbell
• Gail A. Canada, OTR

• Ophthalmology Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.