Individual provider Active NPI

Matthew Campouris, O.D.

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1437598489
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1909 Issued in AZ
Practice address
15681 N Hayden Rd
Suite 115
Scottsdale, AZ 85260-1959
Phone
(480) 948-1131
NPI assigned
Jun 21, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1909 AZ Primary

Addresses

Primary practice location

15681 N Hayden Rd
Suite 115
Scottsdale, AZ 85260-1959

Mailing address

15681 N Hayden Rd
Suite 115
Scottsdale, AZ 85260-1959
Phone (480) 948-1131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20140912002122 AZ Practitioner - Optometry 6305065913 Reassigns benefits to 1 organization
Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visions Optique IncGroup PAC ID 6406932300, 2 clinicians

Practice addresses (Care Compare)

18291 N Pima Rd
Scottsdale, AZ 85255-6224
Phone (480) 515-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1909AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Visions Optique, Inc Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Jlee Enterprise, LLC Optometrist Past Accepting new patients
Miller Eyecare, PLLC Optometrist Past Accepting new patients
Vision Therapy Specialist, PLLC Optometrist PastSince Nov 1, 2007 Accepting new patients

Locations

18291 N Pima Rd
Ste 120
Scottsdale, AZ 85255
Phone (480) 515-2727

Organizations & group practices 4

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1437598489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15681 N HAYDEN RD",
            "address_2": "SUITE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601959",
            "telephone_number": "480-948-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15681 N HAYDEN RD",
            "address_2": "SUITE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601959",
            "telephone_number": "480-948-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOURIS",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.