Individual provider Active NPI

Kimberly Dianne Ocampo, O.D.

  • Optometrist
  • Decatur, AL
National Provider Identifier
1598789752
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-B44 Issued in AL
Practice address
823 6TH Ave SE
Decatur, AL 35601-3021
Phone
(256) 353-1871
Fax
(256) 350-2140
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-B44 AL Primary

Addresses

Primary practice location

823 6TH Ave SE
Decatur, AL 35601-3021

Mailing address

823 6TH Ave SE
Decatur, AL 35601-3021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20061204000538 AL Practitioner - Optometry 1355340217 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Eye Clinic, PCGroup PAC ID 7719144542, 4 clinicians

Practice addresses (Care Compare)

22097 Medical Village Dr
Athens, AL 35613-2904
Phone (256) 232-8240

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-B44ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Optometry Al, LLC Optometrist CurrentSince Oct 7, 2024 Accepting new patients
Florence Eye Center, Inc. Optometrist CurrentSince Nov 1, 2015 Accepting new patients
Florence Eye Center, Inc Optometrist CurrentSince Nov 1, 2015 Accepting new patients
Athens Eye Clinic, PC Optometrist CurrentSince Mar 1, 2025 Accepting new patients
Florence Eye Center, Inc. Optometrist Current Accepting new patients

Locations

110 College St
Ste B
Athens, AL 35611
Phone (256) 233-2393

22097 Medical Village Dr
Athens, AL 35613
Phone (256) 232-4527

201 6th Ave SE
Decatur, AL 35601
Phone (256) 233-2393

711 Cox Creek Pkwy
Florence, AL 35630
Phone (256) 383-2121

7501 Paragon Rd
Ste 201
Dayton, OH 45459

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598789752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 6TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 6TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013021",
            "telephone_number": "256-353-1871",
            "fax_number": "256-350-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCAMPO",
        "first_name": "KIMBERLY",
        "middle_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B44",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.