Mary Eliza V Delcampo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3333 Issued in FL

Practice address

9400 Atlantic Blvd
Suite 62
Jacksonville, FL 32225

Phone

(904) 721-7700

Fax

(904) 721-0051

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Val-U-Vision Inc

  • Optometrist
  • Jacksonville, FL
  • NPI 1821016569
  Medicare reassignment
• Designer Eyewear, Inc

  • Optometrist
  • Jacksonville, FL
  • NPI 1184638934
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1336153006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 ATLANTIC BLVD",
            "address_2": "SUITE 62",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32225",
            "telephone_number": "904-721-7700",
            "fax_number": "904-721-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELCAMPO",
        "first_name": "MARY ELIZA",
        "middle_name": "V",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620947500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debi Delapaz
• Hannah Patterson Delashmitt
• Adam Louis Delatorre, MD
• Delberg LLC
• John Dubois Delbianco, MD
• Efrain Deleon Jr., CRNA
• Michelle Deleon, M.D.
• Ricardo Marcelo Deleon II, MD
• Samantha Deleon
• Julia Elizabeth Delesdernier, DPT

• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.