Ryan James Campbell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009360 Issued in NY

Practice address

23 Oceanic Ave
Staten Island, NY 10312-6511

Phone

(718) 948-8880

NPI assigned

Jun 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Academic Eye Center PAGroup PAC ID 4183691991, 3 clinicians

Staten Island Ophthalmology PCGroup PAC ID 3375434277, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.81 of 100Reported as group

Quality

100

Improvement activities

40

Cost

66.03

Merit-based Incentive Payment System (MIPS)

Final score

90.81 of 100Reported as group

Quality

100

Improvement activities

40

Cost

69.38

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rcampbell@kung.intellechartdirect.net

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.

• Staten Island Ophthalmology, PC

  • Ophthalmology Physician
  • Staten Island, NY
  • NPI 1578570198
  Medicare reassignment Care Compare group NPD
• Academic Eye Center PA

  • Ophthalmology Physician
  • East Brunswick, NJ
  • NPI 1346268661
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1518537331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 JADE CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092007",
            "telephone_number": "718-887-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 OCEANIC AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126511",
            "telephone_number": "718-948-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "192 Summerhill Rd",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088164950",
            "country_code": "US",
            "telephone_number": "732-257-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00706100",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27M00173300",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009360",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanelle Campbell, DO
• Craig John Campbell, DPM PC
• Jacqueline Josephine Campbell, MD
• James R Campbell
• Jessica Campbell
• Vivian Campbell, LCSW
• Zosia Freda Campisi, PT
• Justine Nichole Campo, PHARMD
• Kathleen Anne Campos-Gatjens, FNP
• Dana Ashley Campos, RN

• Optometrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.

Verify at the official NPI Registry.