Kristin L Campbell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4444 T1168 Issued in OH

Practice address

12 Lexington Blvd
Delaware, OH 43015-4071

Phone

(740) 369-2020

Fax

(740) 369-0731

NPI assigned

Nov 7, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kristin.campbell.1@16701.direct.athenahealth.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie E. McMahon, O.D.

  • Optometrist
  • Delaware, OH
  • NPI 1407062904
  Medicare reassignment

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1114908381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LEXINGTON BLVD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430154071",
            "telephone_number": "740-369-2020",
            "fax_number": "740-369-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LEXINGTON BLVD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430154071",
            "telephone_number": "740-369-2020",
            "fax_number": "740-369-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4444 T1168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR FEDERAL PIN",
            "identifier": "1279940001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM TRADITIONAL PLAN",
            "identifier": "000000120234",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arika Byers
• C & a Medical Holding, LLC
• Josie Gayle Calendine
• Danielle Frances Call, LPN
• Denise M. Cambier, M.D.
• Scott A Campbell, DDS
• Sherri G Campbell, CRNA
• Lynnea Carder, MD
• Care4U-Ohio Health Services LLC
• Debra Ann Carr, LISW-S

• Optometrist in Delaware, OH
• Providers in Delaware, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.