Individual provider Active NPI

Anthony F. Campana, OD

  • Optometrist
  • Williamsport, PA
National Provider Identifier
1881680635
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000364 Issued in PA
Practice address
435 River Ave
Williamsport, PA 17701-3722
Phone
(866) 995-3937
Fax
(570) 966-5586
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000364 PA Primary

Addresses

Primary practice location

435 River Ave
Williamsport, PA 17701-3722

Mailing address

435 River Ave
Williamsport, PA 17701-3722
Phone (866) 995-3937

Other identifiers 2

IdentifierTypeStateIssuer
00258OtherBCBS
072361OtherFPH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050425000460 PA Practitioner - Optometry 7719925254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

435 River Ave
Williamsport, PA 17701-3722
Phone (866) 995-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000364PAMDOptometrist

Interoperability endpoints

  • Direct secure messaging: acampana@eccpa.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1881680635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 RIVER AVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013722",
            "telephone_number": "866-995-3937",
            "fax_number": "570-966-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 RIVER AVE",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013722",
            "telephone_number": "866-995-3937",
            "fax_number": "570-966-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANA",
        "first_name": "ANTHONY",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00258",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FPH",
            "identifier": "072361",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.