Individual provider Active NPI

Michael Campbell, MD

  • Ophthalmology Physician
  • Orchard Park, NY
National Provider Identifier
1073717328
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
266837 Issued in NY
Practice address
3151 Southwestern Blvd
Orchard Park, NY 14127-1212
Phone
(716) 674-6030
NPI assigned
Jun 12, 2007
Last updated
Apr 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 266837 NY Primary

Addresses

Primary practice location

3151 Southwestern Blvd
Orchard Park, NY 14127-1212

Mailing address

3151 Southwestern Blvd
Orchard Park, NY 14127-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20130309000095 NY Practitioner - Ophthalmology 9638361561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care and Vision Associates Ophthalmology LLPGroup PAC ID 1456305408, 9 clinicians

Practice addresses (Care Compare)

3712 Southwestern Blvd
Orchard Park, NY 14127-1720
Phone (716) 648-5329

Merit-based Incentive Payment System (MIPS)

Final score
91.45 of 100Reported as group
Quality
90.51
Improvement activities
40
Cost
75.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care and Vision Associates Ophthalmology, LLP CurrentSince Dec 1, 2018 Accepting new patients
Sightline Ophthalmic Associates, P.C. Ophthalmology PastSince Sep 17, 2003 Accepting new patients
Sightline SS LLC Past Accepting new patients
Eye Care and Vision Associates Ophthalmology, LLP Past Accepting new patients
Eye Care and Vision Associates Ophthalmology, LLP Past Accepting new patients

Locations

932 Elmwood Ave
Buffalo, NY 14222
Phone (716) 884-0880

6917 Plaza Dr
Niagara Falls, NY 14304
Phone (716) 298-1212

3712 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 631-8888

811 Maple Rd
Williamsville, NY 14221
Phone (716) 631-8888

Interoperability endpoints

  • Direct secure messaging: mocampbell@directaddress.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1073717328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271212",
            "telephone_number": "716-674-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "266837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.