Camp & Stevener, Inc
Organization Active NPI Optometrist · Palestine, TX
NPI 1437255692 · NPPES record last updated Oct 28, 2008
Key facts
- NPI
- 1437255692
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- CAMP & STEVENER, INC
- Practice address
- 3323 S Loop 256
Palestine, TX 75801-6977 - Phone
- (903) 723-5032
- Fax
- (903) 723-1186
- NPI assigned
- Sep 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Vicki L Camp, OD
- Title
- President/Optometrist
- Phone
- (903) 723-5032
Practitioners 2
-
Ronald C Stevener, O.D.
-
Mandy Williamson, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100325000477 | TX | Part B Supplier - Clinic/Group Practice | 6709912082 |
Receives reassigned benefits from 2 practitioners Practice locations: Buffalo, TX; Palestine, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
3323 S Loop 256
Palestine, TX 75801-6977
Mailing address
3323 S Loop 256
Palestine, TX 75801-6977
Phone (903) 723-5032
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I7046 | Other | TX | RR MCARE |
| 019155301 | Medicaid | TX |
Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.