Active NPI
Caitlin Jean Campbell, O.D.
- Optometrist
- Durango, CO
National Provider Identifier
1942432976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2948
- Practice address
- 2855 N Main
Ste A103
Durango, CO 81301 - Phone
- (970) 382-8790
- Fax
- (970) 382-8966
- NPI assigned
- Aug 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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.
-
- Optometrist
- Durango, CO
- NPI 1639517766
-
- Optometrist
- Missoula, MT
- NPI 1679980965
-
- Optometrist
- Missoula, MT
- NPI 1184810442
NPD (past) OPTOMETRIST
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 3 Rivers Eyecare LLC
Practice addresses (Care Compare)
700 S Ave W
Suite G
Missoula, MT 59801-8011
Phone (406) 549-4851
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130923000217 | CO | Practitioner - Optometry | 8325282916 | Reassigns benefits to 1 organization |
| I20150429000931 | MT | Practitioner - Optometry | 8325282916 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2948 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3 Rivers Eyecare LLC | Optometrist | Current |
Accepting new patients |
| Envision Durango LLC | Optometrist | Current |
Accepting new patients |
| Sandy Sheppard OD PC | Optometrist | Past |
Accepting new patients |
Locations
2977 Main Ave
Ste A
Durango, CO 81301
Phone (970) 382-8790
2855 Main Ave
Ste A103
Durango, CO 81301
Phone (970) 382-8790
700 South Ave W
Missoula, MT 59801
Phone (406) 549-4851
700 South Ave W
Ste G
Missoula, MT 59801
Phone (406) 549-4851
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 2948 | CO | |
| Optometrist | 152W00000X | 2948 | CO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2855 N Main
Ste A103
Durango, CO 81301
Mailing address
2855 N Main
Ste A103
Durango, CO 81301
Phone (970) 382-8790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 5, 2013.
{
"created_epoch": "1249776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1942432976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 N MAIN",
"address_2": "STE A103",
"city": "DURANGO",
"state": "CO",
"postal_code": "81301",
"telephone_number": "970-382-8790",
"fax_number": "970-382-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 N MAIN",
"address_2": "STE A103",
"city": "DURANGO",
"state": "CO",
"postal_code": "81301",
"telephone_number": "970-382-8790",
"fax_number": "970-382-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CAITLIN",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-09",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CO",
"license": "2948",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.