Individual provider Active NPI

Robert B Campbell, O.D.

  • Optometrist
  • Florence, AL
National Provider Identifier
1356453849
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S459TA282 Issued in AL
Practice address
3100 Hough Rd
Wal-Mart Vision Center Store #0766
Florence, AL 35630-6902
Phone
(256) 767-2595
Fax
(256) 767-2967
NPI assigned
Aug 31, 2006
Last updated
Jun 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S459TA282 AL Primary
Optometrist 152W00000X 0951DT KY

Addresses

Primary practice location

3100 Hough Rd
Wal-Mart Vision Center Store #0766
Florence, AL 35630-6902

Mailing address

404 Meadow PL
Florence, AL 35630-7362
Phone (256) 767-2595

Other identifiers 5

IdentifierTypeStateIssuer
22586OtherALAVESIS
63434OtherALDAVIS
924769OtherALBLOCK VISION
07498OtherALSPECTERA
51026767OtherALBCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110301000719 AL Practitioner - Optometry 1052592755 Reassigns benefits to 1 organization
Practice locations: Florence, AL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3100 Hough Rd
Florence, AL 35630-6902
Phone (256) 767-2595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5459ALMDRegistered Dietitian
S459TA282ALMDOptometrist
0951DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B Campbell OD PC Optometrist CurrentSince Jun 1, 2011 Accepting new patients

Locations

3100 Hough Rd
Florence, AL 35630
Phone (256) 767-2595

3100 Hough Rd
#766
Florence, AL 35630
Phone (256) 767-2595

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1356453849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MEADOW PL",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356307362",
            "telephone_number": "256-767-2595",
            "fax_number": "256-767-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 HOUGH RD",
            "address_2": "WAL-MART VISION CENTER STORE #0766",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306902",
            "telephone_number": "256-767-2595",
            "fax_number": "256-767-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S459TA282",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0951DT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "22586",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "63434",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "924769",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "07498",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51026767",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.