Active NPI
Jorge Luis Campana, M.D.
- Ophthalmology Physician
- Falls Church, VA
National Provider Identifier
1811981483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101043415
- Practice address
- 6201 Leesburg Pike
Suite 200
Falls Church, VA 22044-2201 - Phone
- (703) 534-4277
- Fax
- (703) 241-5510
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101043415 | VA | Primary |
Addresses
Primary practice location
6201 Leesburg Pike
Suite 200
Falls Church, VA 22044-2201
Mailing address
6201 Leesburg Pike
Suite 200
Falls Church, VA 22044-2201
Phone (703) 534-4277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006301576 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101043415 | VA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyedata - Eye Doctors and Technology Advantage | Ophthalmology | Current | Accepting new patients |
Locations
410 S Washington St
Falls Church, VA 22046
Phone (703) 532-0728
Organizations & group practices 2
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.
-
dba Vision Consultants and Surgeons / MG Optical
- Ophthalmology Physician
- Falls Church, VA
- NPI 1013358514
DC
-
- Ophthalmology Physician
- Falls Church, VA
- NPI 1679744734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1811981483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 LEESBURG PIKE",
"address_2": "SUITE 200",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220442201",
"telephone_number": "703-534-4277",
"fax_number": "703-241-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 LEESBURG PIKE",
"address_2": "SUITE 200",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220442201",
"telephone_number": "703-534-4277",
"fax_number": "703-241-5510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPANA",
"first_name": "JORGE",
"middle_name": "LUIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101043415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006301576",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.