Individual provider Active NPI

Samantha Megan Zehnle Del Campo, OD

  • Optometrist
  • Glen Allen, VA
National Provider Identifier
1962994335
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002648 Issued in VA
Practice address
4114 Innslake Dr
Glen Allen, VA 23060-3344
Phone
(804) 217-9883
Fax
(804) 217-9065
NPI assigned
Jun 1, 2018
Last updated
Jun 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002648 VA Primary

Addresses

Primary practice location

4114 Innslake Dr
Glen Allen, VA 23060-3344

Mailing address

4114 Innslake Dr
Glen Allen, VA 23060-3344
Phone (804) 217-9883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210922002742 WA Practitioner - Optometry 3779839535 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002648VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dos del Campos Optometrist Current Accepting new patients
Richard E Sorkin OD PA Optometrist Current Accepting new patients
Alderwood Vision Therapy and Development PLLC CurrentSince Dec 29, 2024 Accepting new patients

Locations

16006 Ash Way
Ste 101
Lynnwood, WA 98087
Phone (425) 787-5200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1962994335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 INNSLAKE DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603344",
            "telephone_number": "804-217-9883",
            "fax_number": "804-217-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 INNSLAKE DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603344",
            "telephone_number": "804-217-9883",
            "fax_number": "804-217-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CAMPO",
        "first_name": "SAMANTHA",
        "middle_name": "MEGAN ZEHNLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.