Individual provider Active NPI

Joe H Campbell, OD LLC

  • Optometrist
  • Hartwell, GA
National Provider Identifier
1730187279
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT000938 Issued in GA
Practice address
946 Benson St
Hartwell, GA 30643-2023
Phone
(706) 376-5471
Fax
(706) 376-5483
NPI assigned
Jul 8, 2005
Last updated
Feb 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT000938 GA Primary

Addresses

Primary practice location

946 Benson St
Hartwell, GA 30643-2023

Mailing address

946 Benson St
Hartwell, GA 30643-2023
Phone (706) 376-5471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20061016000082 GA Practitioner - Optometry 4183620172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

946 Benson St
Hartwell, GA 30643-2023
Phone (706) 376-5471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joe H Campbell OD LLC CurrentSince Sep 1, 2006 Accepting new patients

Locations

946 Benson St
Hartwell, GA 30643
Phone (706) 376-5471

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1730187279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 BENSON ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306432023",
            "telephone_number": "706-376-5471",
            "fax_number": "706-376-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 BENSON ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306432023",
            "telephone_number": "706-376-5471",
            "fax_number": "706-376-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JOE",
        "middle_name": "H",
        "credential": "OD LLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartwell, GA

Sources for this page

Verify at the official NPI Registry.