Individual provider Active NPI

Kyle John Campion, O.D.

  • Optometrist
  • Shelby TWP, MI
National Provider Identifier
1447667340
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004850 Issued in MI
Practice address
45179 Market St
Shelby TWP, MI 48315-6221
Phone
(586) 884-0331
Fax
(586) 884-0336
NPI assigned
Jul 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 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 4901004850 MI Primary

Addresses

Primary practice location

45179 Market St
Shelby TWP, MI 48315-6221

Mailing address

45179 Market St
Shelby TWP, MI 48315-6221
Phone (586) 884-0331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150114000447 MI Practitioner - Optometry 7618291071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SVS Vision IncGroup PAC ID 9931257110, 41 clinicians

Practice addresses (Care Compare)

37120 Dequindre Rd
Sterling Heights, MI 48310-3535
Phone (586) 979-6260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004850MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Mar 26, 2019 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Mar 26, 2019 Accepting new patients
Pcor, LLC Optometrist CurrentSince Jan 12, 2015 Accepting new patients
Pcor LLC Optometrist CurrentSince Jan 12, 2015 Accepting new patients
Eyeglass World Past Accepting new patients

Locations

27903 23 Mile Rd
Chesterfield, MI 48051
Phone (586) 598-3935

33100 S Gratiot Ave
Clinton Twp, MI 48035
Phone (586) 294-0120

400 Renaissance Ctr
Ste 140
Detroit, MI 48243

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

22500 Haggerty Rd
Farmington Hills, MI 48335
Phone (248) 477-9300

1376 S Lapeer Rd
#A
Lake Orion, MI 48360
Phone (248) 693-3380

516 Highland Ave
Milford, MI 48381
Phone (248) 577-3616

504 N Telegraph Rd
Monroe, MI 48162
Phone (734) 243-2020

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

7542 26 Mile Rd
Shelby Township, MI 48316
Phone (586) 267-9000

37120 Dequindre Rd
Sterling Heights, MI 48310
Phone (586) 979-6260

44987 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 247-5910

22395 Eureka Rd
Taylor, MI 48180
Phone (248) 661-5100

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

735 John R Rd
Troy, MI 48083
Phone (248) 544-3290

6530 Farmington Rd
Ste 300
West Bloomfield, MI 48322
Phone (248) 661-5100

35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200

Organizations & group practices 5

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": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1447667340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45179 MARKET ST",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483156221",
            "telephone_number": "586-884-0331",
            "fax_number": "586-884-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45179 MARKET ST",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483156221",
            "telephone_number": "586-884-0331",
            "fax_number": "586-884-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPION",
        "first_name": "KYLE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-13",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

Verify at the official NPI Registry.