Individual provider Active NPI

Lisa Campbell, O.D.

  • Optometrist
  • Huntsville, AL
National Provider Identifier
1386857795
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S907-TA453 Issued in AL
Practice address
964 Airport Rd SW Ste 12
Huntsville, AL 35802-1393
Phone
(256) 883-1029
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S907-TA453 AL Primary

Addresses

Primary practice location

964 Airport Rd SW Ste 12
Huntsville, AL 35802-1393

Mailing address

964 Airport Rd SW Ste 12
Huntsville, AL 35802-1393
Phone (256) 883-1029

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
I20080820000284 AL Practitioner - Optometry 0042251977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Hampton Moore OD PCGroup PAC ID 8325064306, 3 clinicians

Practice addresses (Care Compare)

1593 Darby Dr
Florence, AL 35630-2746
Phone (256) 767-5000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S907-TA453ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
W Hampton Moore OD PC Optometrist CurrentSince May 15, 2024 Accepting new patients
Marx Optical Inc CurrentSince Jul 9, 2017 Accepting new patients

Locations

2620 Centron Dr SW
Decatur, AL 35603
Phone (256) 350-2020

1593 Darby Dr
Florence, AL 35630
Phone (256) 767-5000

964 Airport Rd SW
Ste 12
Huntsville, AL 35802
Phone (256) 883-1029

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1386857795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 AIRPORT RD SW STE 12",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021393",
            "telephone_number": "256-883-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 AIRPORT RD SW STE 12",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021393",
            "telephone_number": "256-883-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S907-TA453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.