Active NPI
Kyle John Campion, O.D.
- Optometrist
- Shelby TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004850
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004850 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
| SVS Vision Inc | Optometrist | Current | Accepting new patients |
| Pcor, LLC | Optometrist | Current | Accepting new patients |
| Pcor LLC | Optometrist | Current | 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.
-
- Optometrist
- Mount Clemens, MI
- NPI 1194879023
-
- Optometrist
- Troy, MI
- NPI 1720033343
-
- Optometrist
- Troy, MI
- NPI 1801122460
-
- Optician
- Shelby Township, MI
- NPI 1851709398
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
- Brush Rinse Floss SH PLLC
- Debra Lee Budzeak, PHYSICAL THERAPIST A
- Doreen Elizabeth Cahill, LMSW, CAADC
- Mary Jo Calcaterra, MA CCC SLP
- Ma.Grace Camitan
- Kennedy Caperton
- Carelink Services & Billing Solutions, LLC
- Stephanie Lynn Carnaghi, OTRL
- Steven Carter, DPT
- Castile Dental Group PLLC (Castile Dental Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.