Individual provider Active NPI

Christopher Pascual Campana, O.D.

  • Optometrist
  • Henderson, NV
National Provider Identifier
1154763662
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
766 Issued in NV
Practice address
300 E Lake Mead Pkwy
Henderson, NV 89015-5576
Phone
(702) 435-4301
Fax
(702) 435-4302
NPI assigned
Jul 25, 2013
Last updated
Jan 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 766 NV Primary
Optometrist 152W00000X 14622 CA

Addresses

Primary practice location

300 E Lake Mead Pkwy
Henderson, NV 89015-5576

Mailing address

300 E Lake Mead Pkwy
Henderson, NV 89015-5576
Phone (702) 435-4301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20131231000754 NV Practitioner - Optometry 6507094299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ngo and Campana OD LLCGroup PAC ID 5799080974, 2 clinicians

Practice addresses (Care Compare)

25 E Horizon Ridge Pkwy
Suite 100
Henderson, NV 89002-7901
Phone (702) 435-4301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
766NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ngo & Campana, OD LLC Optometrist CurrentSince Mar 31, 2016 Accepting new patients
Long Kevin Diep, Odpc Optometrist CurrentSince May 17, 2014 Accepting new patients
Spring Mountain Vision, Inc. Optometrist CurrentSince May 17, 2014 Accepting new patients

Locations

25 E Horizon Ridge Pkwy
Ste 100
Henderson, NV 89002
Phone (702) 435-4301

300 E Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 435-4301

3437 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 889-1128

4043 Spring Mountain Rd
Las Vegas, NV 89102
Phone (702) 889-8338

Organizations & group practices 3

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": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1154763662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155576",
            "telephone_number": "702-435-4301",
            "fax_number": "702-435-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LAKE MEAD PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155576",
            "telephone_number": "702-435-4301",
            "fax_number": "702-435-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANA",
        "first_name": "CHRISTOPHER",
        "middle_name": "PASCUAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-25",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "766",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.