Individual provider Active NPI

Maria Campos, O.D.

  • Optometrist
  • Brownsville, TX
National Provider Identifier
1366575888
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05957T Issued in TX
Practice address
2205 Ruben Torres Sr Blvd
Brownsville, TX 78526-7439
Phone
(956) 574-9633
NPI assigned
Mar 13, 2007
Last updated
Aug 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05957T TX Primary

Addresses

Primary practice location

2205 Ruben Torres Sr Blvd
Brownsville, TX 78526-7439

Mailing address

2423 E Jackson St
Brownsville, TX 78520-4950
Phone (956) 542-1236

Other identifiers 2

IdentifierTypeStateIssuer
938466OtherTXEYEMED IDENTIFICATION NUM
141855001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160803000469 TX Practitioner - Optometry 5395039077 Reassigns benefits to 1 organization
Practice locations: Brownsville, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2137 E 22ND St
Brownsville, TX 78521-2908
Phone (956) 548-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05957TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brownsville Community Health Clinic Corporation CurrentSince Jan 9, 2023 Accepting new patients
Brownsville Community Health Clinic Corporation Current Accepting new patients
Maria del Carmen Z Campos Optometrist CurrentSince May 8, 2022 Accepting new patients
Brownsville Community Health Clinic Corporation CurrentSince Jan 9, 2023 Accepting new patients
Brownsville Community Health Clinic Corporation Past Accepting new patients

Locations

191 E Price Rd
Brownsville, TX 78521
Phone (956) 548-7400

2137 E 22nd St
Brownsville, TX 78521
Phone (956) 548-7400

2205 Ruben Torres SR Blvd
Brownsville, TX 78526
Phone (956) 509-2078

Interoperability endpoints

  • Direct secure messaging: maria.campos.p1@direct.bchc.nextgenshare.com

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, 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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1366575888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 E JACKSON ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785204950",
            "telephone_number": "956-542-1236",
            "fax_number": "956-574-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 RUBEN TORRES SR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785267439",
            "telephone_number": "956-574-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05957T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED IDENTIFICATION NUM",
            "identifier": "938466",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141855001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.