Teresa Campos, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

008228 Issued in NY

Practice address

15811 Jewel Ave
Fresh Meadows, NY 11365-3085

Phone

(718) 591-2014

Fax

(718) 591-9528

NPI assigned

Dec 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1366840019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15811 JEWEL AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653085",
            "telephone_number": "718-591-2014",
            "fax_number": "718-591-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15811 JEWEL AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653085",
            "telephone_number": "718-591-2014",
            "fax_number": "718-591-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jing J Cai, O.D.
• Tina Caliendo
• Oleavis Callender
• Toni Camerada
• Eula M Campbell
• Dayana Cantillo
• Sally Cao
• Joseph P. Capobianco, PT
• Jacqueline Caracciolo
• Mario W. Cardenas

• Optometrist in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.