Active NPI
Julie Young Campbell OD LLC
- Optometrist
- Callaway, FL
National Provider Identifier
1255684262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP2920
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.