Carrie Ann Campbell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004349 Issued in MI

Practice address

2047 Niles Rd
Saint Joseph, MI 49085-2505

Phone

(269) 983-3200

Fax

(269) 983-4902

NPI assigned

Dec 18, 2006

Last updated

Jan 7, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All Eyes Optometry PLLCGroup PAC ID 2668736703, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drcampbell@alleyesoptometry.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All Eyes Optometry PLLC

  • Optometrist
  • Saint Joseph, MI
  • NPI 1497252381
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1619030947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852505",
            "telephone_number": "269-983-3200",
            "fax_number": "269-983-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852505",
            "telephone_number": "269-983-3200",
            "fax_number": "269-983-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK",
            "identifier": "928360",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MES",
            "identifier": "20065",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C R Alderdice D O
• Rossenery Caceres, PT, DPT, AIB-VRC
• Acquisha Chrystal Cagilus, LPC NCC
• Lawrence Christie Cairns, M.D.
• Michael T. Callahan, PA-C
• Matthew J Campbell, M.D.
• Meredith Canter
• Manuel Enrrique Cantor Varela, M.D.
• Angela Carder-Sokolowski, NP
• Sara Agusto Cardoza

• Optometrist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.