Keith James Campese, OD

Primary specialty

OpticianTaxonomy code 156FX1800X

License

005770-1 Issued in NY

Practice address

4960 Transit Rd Ste 1
Depew, NY 14043-4655

Phone

(716) 462-8519

NPI assigned

Jul 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Western New York Family Eyecare LLC

  • Optician
  • Depew, NY
  • NPI 1134697089
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1467948760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SAGEBRUSH LN",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140869430",
            "telephone_number": "716-462-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 TRANSIT RD STE 1",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434655",
            "telephone_number": "716-462-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPESE",
        "first_name": "KEITH",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005770-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Bulas-Mercuri, PT DPT
• Raymond Burgess, PHARM.D.
• William Joseph Burke
• Brian Patrick Burns, DPT
• Anna Caflisch
• Jacqueline Ann Cansdale
• Cantalician Center for Learning
• Cantalician Center for Learning, Inc.
• Caring Environments J & H Inc
• Alex Caron, RPH

• All providers in Depew, NY
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.