Glenn C Campbell, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101050836 Issued in VA

Practice address

5215 Monticello Ave
Williamsburg, VA 23188-8213

Phone

(757) 229-4000

NPI assigned

Jan 4, 2007

Last updated

Feb 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Av Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Williamsburg, VA
  • NPI 1538528021
  Authorized official Same address or phone
• Colonial Opthalmology

  dba Advanced Vision Institute

  • Ophthalmology Physician
  • Williamsburg, VA
  • NPI 1295882835
  Authorized official Same address or phone

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1740337500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859066",
            "telephone_number": "941-488-2020",
            "fax_number": "941-484-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 MONTICELLO AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888213",
            "telephone_number": "757-229-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "GLENN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101050836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcampbell@useye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1360 E Venice Ave",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342859066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Callaway, M.S.
• Thomas Camp, MD
• Richard Anthony Campana Sr., MD
• Anh Campbell, MD
• Carolyn Hahn Campbell, PT
• Jennifer Leigh Campbell, COTA/L
• Madalyn Campbell
• Russell Witter Campbell, MD
• Timothy John Campbell, M.D.
• Jonathan Canaday

• Ophthalmology Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.