Riley William Camp, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-E95 Issued in AL

Practice address

110 College St Ste B
Athens, AL 35611-2714

Phone

(256) 587-2139

Fax

(256) 233-2309

NPI assigned

Jun 6, 2022

Last updated

Jun 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Optometry

Education

University of Alabama School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Decatur Family Eye Care LLCGroup PAC ID 6608128715, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: riley.camp@direct.revolutionehr.com

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.

• Decatur Family Eye Care LLC

  • Optometrist
  • Decatur, AL
  • NPI 1023594603
  Medicare reassignment Care Compare group NPD
• Star Optometry Al, LLC

  dba InFocus Eyecare

  • Optometrist
  • Athens, AL
  • NPI 1528841954
  Medicare reassignment NPD
• Pathway Eye Athens

  • Optometrist
  • Athens, AL
  • NPI 1205009750
  NPD
• Herbert H. Bowden

  dba Eye for God

  • Specialist
  • Huntsville, AL
  • NPI 1104940774
  NPD (past)

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1295464410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLLEGE ST STE B",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112714",
            "telephone_number": "256-587-2139",
            "fax_number": "256-233-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COLLEGE ST STE B",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112714",
            "telephone_number": "256-587-2139",
            "fax_number": "256-233-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "RILEY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E95",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci A Bullock, CRNP
• Felicia M Butler, MSW
• Matthew Bragg Caldwell, MD
• Caleb Hodges, DMD, LLC (Hodges Family Dental)
• Jessie Calliste
• Joshua Campbell, PHARM.D.
• Nicole Lorett Campbell, MS
• Joseph M Cannon, MD
• Monique D. Cannon, PHARM.D.
• Carlota OB GYN P.C.

• Optometrist in Athens, AL
• Providers in Athens, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.