Chad H Campbell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

56755659934 Issued in UT

Practice address

6191 S State St
Murray, UT 84107-7258

Phone

(801) 268-0937

Fax

(801) 281-4281

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Networks

• UT PPO D-SNP
• UT PPO

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1083676845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 NEW HERITAGE CIRCLE",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885076",
            "telephone_number": "801-282-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6191 S STATE ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077258",
            "telephone_number": "801-268-0937",
            "fax_number": "801-281-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHAD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "56755659934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot Orion Camarillo, CSW
• Kathryn Elizabeth Cameron, DDS
• Debra Camp, RN
• Blaine G. Campbell, NP
• Brian Edward Campbell, MD
• Margy M Campbell, LCSW
• Matthew Campbell
• Mikey Craig Campbell, LMT
• Canada Chiropractic a Professional Corporation
• Audrey Cannon, MAT, LAT, ATC

• Optometrist in Murray, UT
• Providers in Murray, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.