Individual provider Active NPI

James Stewart Campbell, O.D.

  • Optometrist
  • New Martinsville, WV
National Provider Identifier
1881757565
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
687-OD Issued in WV
Practice address
297 N State Route 2
New Martinsville, WV 26155-2243
Phone
(304) 455-5861
Fax
(304) 455-5886
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 687-OD WV Primary

Addresses

Primary practice location

297 N State Route 2
New Martinsville, WV 26155-2243

Mailing address

297 N State Route 2
New Martinsville, WV 26155-2243
Phone (304) 455-5861

Other identifiers 1

IdentifierTypeStateIssuer
0149567000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20100901000739 WV Practitioner - Optometry 3476677147 Practice locations: New Martinsville, WV

Care Compare profile

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

Practice addresses (Care Compare)

297 N State Route 2
New Martinsville, WV 26155-2243
Phone (304) 455-5861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
687-ODWVMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1881757565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 N STATE ROUTE 2",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552243",
            "telephone_number": "304-455-5861",
            "fax_number": "304-455-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 N STATE ROUTE 2",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261552243",
            "telephone_number": "304-455-5861",
            "fax_number": "304-455-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JAMES",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "687-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149567000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Martinsville, WV

Sources for this page

Verify at the official NPI Registry.