Campbell, James M
Campbell, James M is an sole proprietor health care provider with primary practice located at 103 Diecks Dr , Elizabethtown KY 42701-2444. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Campbell, James M can be contacted via phone (270) 769-1397.Contact Information
Primary practice address
103 Diecks Dr
Elizabethtown KY 42701-2444
Phone: (270) 769-1397
Fax: (270) 765-4899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 0584DT | Kentucky |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0584 DT | Kentucky |
Profile Details
| NPI number | 1700889441 |
|---|---|
| LBN Legal business name | Campbell, James M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2005 |
| Last updated | May 8th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700889441 | NPPES |
| Kentucky | Other | 000000046005 | ANTHEM BLUE CROSS |
| Kentucky | Other | 000000046005 | ANTHEM BLUE CROSS |
| Kentucky | MEDICAID | 77008548 | ANTHEM BLUE CROSS |
| Kentucky | Other | 900781 | ANTHEM BLUE CROSS |
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