Campbell Eye Care PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

VC059657 Issued in MI

Legal business name

CAMPBELL EYE CARE PC

Practice address

932 Spring St Ste 101
Petoskey, MI 49770-2286

Phone

(231) 487-5315

Fax

(231) 487-5316

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vern Jay Campbell, MD

Title

Owner/President

Phone

(231) 487-5315

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1760670582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 SPRING ST STE 101",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702286",
            "telephone_number": "231-487-5315",
            "fax_number": "231-487-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 SPRING ST STE 101",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702286",
            "telephone_number": "231-487-5315",
            "fax_number": "231-487-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "VERN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "231-487-5315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "VC059657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4549885",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Bur, NP-C
• Lisa Burnett, MA
• Cameron P Burns, FNP
• Angelina Burtovoy, RN
• Christina Mae Calcaterra, MPT
• Lindsey Campbell
• Vern J Campbell, M.D.
• Robin Campeau
• Louis A Cannon, MD
• Carl F Powers, O.D. PLLC

• Ophthalmology Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.