Individual provider Active NPI

Christopher E Campbell, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1144311366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
FLOPC3331 Issued in FL
Practice address
2201B E Fowler Ave
Tampa, FL 33612-5507
Phone
(813) 972-1573
Fax
(813) 632-0563
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X FLOPC3331 FL Primary

Addresses

Primary practice location

2201B E Fowler Ave
Tampa, FL 33612-5507

Mailing address

305 Bahia Vista Dr
Indian Rocks Beach, FL 33785-3703
Phone (727) 215-4550

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040916000610 FL Practitioner - Optometry 4880661909 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FLOPC3331FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Friendly Eyes Optometry LLC CurrentSince Oct 1, 2025 Accepting new patients
Optometric Associates of Florida, P.a. Optometrist Past Accepting new patients

Locations

2000 66th St N
St Petersburg, FL 33710
Phone (727) 341-1987

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144311366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BAHIA VISTA DR",
            "city": "INDIAN ROCKS BEACH",
            "state": "FL",
            "postal_code": "337853703",
            "telephone_number": "727-215-4550",
            "fax_number": "813-632-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201B E FOWLER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125507",
            "telephone_number": "813-972-1573",
            "fax_number": "813-632-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FLOPC3331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.