Individual provider Active NPI

Debbie Ocampo, OD

  • Optometrist
  • Middletown, NY
National Provider Identifier
1902493695
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009207 Issued in NY
Practice address
200 Midway Park Dr Ste 1
Middletown, NY 10940-2643
Phone
(845) 343-6919
NPI assigned
Dec 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009207 NY Primary

Addresses

Primary practice location

200 Midway Park Dr Ste 1
Middletown, NY 10940-2643

Mailing address

41 Castle Point Rd
Wappingers Falls, NY 12590-7004
Phone (845) 568-7040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210601000889 NY Practitioner - Optometry 3375942089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jack R Nizewitz and Gary J Lake PCGroup PAC ID 7416076906, 3 clinicians

Practice addresses (Care Compare)

200 Midway Park Dr
Middletown, NY 10940-2642
Phone (845) 343-6919

Merit-based Incentive Payment System (MIPS)

Final score
16.7 of 100Reported as group
Quality
33.39
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jack R Nizewitz & Gary J Lake PC Optometrist CurrentSince Jul 1, 2021 Accepting new patients

Locations

200 Midway Park Dr
Middletown, NY 10940
Phone (845) 343-6919

200 Midway Park Dr
Ste 1
Middletown, NY 10940
Phone (845) 343-7274

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": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1902493695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CASTLE POINT RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125907004",
            "telephone_number": "845-568-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MIDWAY PARK DR STE 1",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402643",
            "telephone_number": "845-343-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCAMPO",
        "first_name": "DEBBIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.