Colonial Opthalmology

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

COLONIAL OPTHALMOLOGY

Doing business as

Advanced Vision Institute

Practice address

5215 Monticello Ave
Williamsburg, VA 23188-8213

Phone

(757) 229-4000

NPI assigned

Jan 5, 2007

Last updated

Mar 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Glenn C Campbell, MDNPI 1740337500

Title

Administrator

Phone

(757) 229-4000

Specialties & licenses 1

Addresses

Other names 1

• ADVANCED VISION INSTITUTE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenn C Campbell, MD

  • Ophthalmology Physician
  • Williamsburg, VA
  • NPI 1740337500
  Authorized official Same address or phone

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1295882835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 MONTICELLO AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888213",
            "telephone_number": "757-229-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 MONTICELLO AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888213",
            "telephone_number": "757-229-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL OPTHALMOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-229-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED VISION INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.