Dr. Tanya Campbell, Optometry, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

56007388 Issued in NY

Legal business name

DR. TANYA CAMPBELL, OPTOMETRY, P.C.

Practice address

409 Hawthorne St
Brooklyn, NY 11203-1516

Phone

(347) 374-2533

Fax

(718) 473-0951

NPI assigned

May 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Tanya Campbell, O.D.

Title

President

Phone

(347) 374-2533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1265879423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 HAWTHORNE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031516",
            "telephone_number": "347-374-2533",
            "fax_number": "718-473-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 HAWTHORNE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031516",
            "telephone_number": "347-374-2533",
            "fax_number": "718-473-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TANYA CAMPBELL, OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-374-2533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "56007388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.