Individual provider Active NPI

James R Campbell Jr., O.D.P.C.

  • Optometrist
  • Frisco, TX
National Provider Identifier
1609936319
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3923TG Issued in TX
Practice address
7638 Stonebrook Pkwy
Frisco, TX 75034-1003
Phone
(972) 712-1010
Fax
(972) 712-1011
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3923TG TX
Optometrist 152W00000X 3923TG TX Primary
Occupational Vision Optometrist 152WX0102X 3923TG TX
Pediatric Optometrist 152WP0200X 3923TG TX

Addresses

Primary practice location

7638 Stonebrook Pkwy
Frisco, TX 75034-1003

Mailing address

7638 Stonebrook Pkwy
Frisco, TX 75034-1003
Phone (972) 712-1010

Other identifiers 8

IdentifierTypeStateIssuer
1902852346OtherTXGROUP NPI
8DT969OtherTXBLUE CROSS BLUE SHIELD
1234530001OtherTXDMERC
00E41YOtherTXGROUP PIN
K0122300OtherTXDPS
3923TGOtherTXSTATE LICENSE
752711435OtherTNGROUP TAX ID
1609936319OtherTXNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130712000044 TX Practitioner - Optometry 5193965317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frisco Eye AssociatesGroup PAC ID 5193792786, 12 clinicians

Practice addresses (Care Compare)

7638 Stonebrook Pkwy
Frisco, TX 75034-1003
Phone (972) 712-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Eye Associates Optometrist CurrentSince Jul 1, 2013 Accepting new patients

Locations

3140 Legacy Dr
Ste 500
Frisco, TX 75034
Phone (214) 619-5508

7638 Stonebrook Pkwy
Frisco, TX 75034
Phone (972) 712-1010

Organizations & group practices 1

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609936319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7638 STONEBROOK PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341003",
            "telephone_number": "972-712-1010",
            "fax_number": "972-712-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7638 STONEBROOK PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341003",
            "telephone_number": "972-712-1010",
            "fax_number": "972-712-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "3923TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3923TG",
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "3923TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "3923TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1902852346",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8DT969",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1234530001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN",
            "identifier": "00E41Y",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "K0122300",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3923TG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "752711435",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609936319",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.