Organization
S W CAMPBELL OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT W. CAMPBELL O.D. (PRESIDENT)
(276) 236-3242
Entity
Organization
Contact information
Practice address
609 GLENDALE RD, GALAX, VA 24333-2209
(276) 236-3242
(276) 236-3250
Mailing address
609 GLENDALE RD, GALAX, VA 24333-2209
(276) 236-3242
(276) 236-3250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000022
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117070
EYE MED
—
01
—
217722
ANTHEM
—
01
—
283501
SOUTHERN HEALTH
—
01
—
42679
DAVIS VISION
—
05
—
9205551
—
VA
Enumeration date
04/15/2008
Last updated
08/31/2023
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