Organization Active NPI

Campen Eye Care LLC

  • Ophthalmology Physician
  • Savannah, GA
National Provider Identifier
1336380658
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
032147 Issued in GA
Legal business name
CAMPEN EYE CARE LLC
Practice address
5102 Paulsen St
Building 4
Savannah, GA 31405-4601
Phone
(912) 927-8944
Fax
(912) 356-5801
NPI assigned
Mar 17, 2009
Last updated
Aug 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Dr. Thomas J Campen, MDNPI 1497729834
Title
Owner
Phone
(912) 927-8944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 032147 GA Primary

Addresses

Primary practice location

5102 Paulsen St
Building 4
Savannah, GA 31405-4601

Mailing address

5102 Paulsen St
Building 4
Savannah, GA 31405-4601
Phone (912) 927-8944

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110113001127 GA Part B Supplier - Clinic/Group Practice 4385833847 Receives reassigned benefits from 1 practitioner
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory

Locations

5102 Paulsen St
Bldg 4
Savannah, GA 31405
Phone (912) 356-3604

5102 Paulsen St
Bldg 5
Savannah, GA 31405
Phone (912) 355-7446

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1336380658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST",
            "address_2": "BUILDING 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054601",
            "telephone_number": "912-927-8944",
            "fax_number": "912-356-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST",
            "address_2": "BUILDING 4",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054601",
            "telephone_number": "912-927-8944",
            "fax_number": "912-356-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPEN EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "CAMPEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-927-8944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "032147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.