Individual provider Active NPI

Bessie Campouris, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1306286273
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1910 Issued in AZ
Practice address
11230 N Tatum Blvd Ste 100
Phoenix, AZ 85028-1641
Phone
(602) 263-0850
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1910 AZ Primary

Addresses

Primary practice location

11230 N Tatum Blvd Ste 100
Phoenix, AZ 85028-1641

Mailing address

11230 N Tatum Blvd Ste 100
Phoenix, AZ 85028-1641
Phone (602) 263-0850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20130910000168 AZ Practitioner - Optometry 2961646187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11230 N Tatum Blvd
Phoenix, AZ 85028-1641
Phone (602) 263-0850

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James K McPhelan OD PC Optometrist Current Accepting new patients
James K McPhelan OD PC Optometrist CurrentSince Nov 11, 2022 Accepting new patients
John N Chrisagis O D P C Optometrist CurrentSince Mar 17, 2018 Accepting new patients
Nationwide Optometry P.C. Optometrist PastSince Jul 1, 2013 Accepting new patients

Locations

16429 N Tatum Blvd
Phoenix, AZ 85032
Phone (480) 889-6044

7511 S McClintock Dr
Tempe, AZ 85283
Phone (480) 967-4910

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1306286273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 N TATUM BLVD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281641",
            "telephone_number": "602-263-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 N TATUM BLVD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281641",
            "telephone_number": "602-263-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOURIS",
        "first_name": "BESSIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.