Robert B Campbell OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

S459TA282 Issued in AL

Legal business name

ROBERT B CAMPBELL OD PC

Practice address

3100 Hough Rd
Florence, AL 35630-6902

Phone

(256) 767-2595

Fax

(256) 767-2967

NPI assigned

Jun 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Robert B Campbell, ODNPI 1356453849

Title

Owner

Phone

(256) 767-2595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert B Campbell, O.D.

  • Optometrist
  • Florence, AL
  • NPI 1356453849
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1891080149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 HOUGH RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306902",
            "telephone_number": "256-767-2595",
            "fax_number": "256-767-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 HOUGH RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306902",
            "telephone_number": "256-767-2595",
            "fax_number": "256-767-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B CAMPBELL OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-767-2595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S459TA282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Florence, AL
• Providers in Florence, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.