Organization Active NPI

Julie Young Campbell OD LLC

  • Optometrist
  • Callaway, FL
National Provider Identifier
1255684262
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2920 Issued in FL
Legal business name
JULIE YOUNG CAMPBELL OD LLC
Practice address
725 N Tyndall Pkwy
Callaway, FL 32404-3219
Phone
(850) 785-3426
Fax
(850) 785-6556
NPI assigned
Oct 16, 2012
Last updated
Oct 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Dr. Julie Young Campbell, O.D.
Title
Optometrist
Phone
(850) 249-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP2920 FL Primary

Addresses

Primary practice location

725 N Tyndall Pkwy
Callaway, FL 32404-3219

Mailing address

725 N Tyndall Pkwy
Callaway, FL 32404-3219
Phone (850) 785-3426

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1255684262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N TYNDALL PKWY",
            "city": "CALLAWAY",
            "state": "FL",
            "postal_code": "324043219",
            "telephone_number": "850-785-3426",
            "fax_number": "850-785-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N TYNDALL PKWY",
            "city": "CALLAWAY",
            "state": "FL",
            "postal_code": "324043219",
            "telephone_number": "850-785-3426",
            "fax_number": "850-785-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE YOUNG CAMPBELL OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "850-249-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP2920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Callaway, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.