Active NPI
Campus Opticians, LLC
- Optometrist
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 156FX1800X
- Legal business name
- CAMPUS OPTICIANS, LLC
- Practice address
- 3640 Main St
Suite 206
Springfield, MA 01107-1145 - Phone
- (413) 733-3590
- Fax
- (413) 733-5496
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandy Chambers, OPTICIAN
- Title
- Managing Optician
- Phone
- (413) 733-3590
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 156FX1800X | MA | Primary |
Addresses
Primary practice location
3640 Main St
Suite 206
Springfield, MA 01107-1145
Mailing address
3640 Main St
Suite 206
Springfield, MA 01107-1145
Phone (413) 733-3590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 762254 | Other | MA | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120823000539 | MA | DME Supplier - Optician | 6608023841 | Practice locations: Springfield, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Campus Opticians LLC | Prosthetic Lenses: Conventional Eyeglasses | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
3640 Main St
Ste 206
Springfield, MA 01107
Phone (413) 733-3590
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optician
- Springfield, MA
- NPI 1598057556
-
- Optician
- Springfield, MA
- NPI 1376805978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256169600000",
"number": "1396801841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 MAIN ST",
"address_2": "SUITE 206",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071145",
"telephone_number": "413-733-3590",
"fax_number": "413-733-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 MAIN ST",
"address_2": "SUITE 206",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071145",
"telephone_number": "413-733-3590",
"fax_number": "413-733-5496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMPUS OPTICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2009-10-22",
"status": "A",
"authorized_official_last_name": "CHAMBERS",
"authorized_official_first_name": "SANDY",
"authorized_official_title_or_position": "MANAGING OPTICIAN",
"authorized_official_telephone_number": "413-733-3590",
"authorized_official_credential": "OPTICIAN"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MA",
"license": "156FX1800X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "762254",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.