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Individual

DR. JAMES R CAMPBELL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.P.C.

Contact information

Practice address
7638 STONEBROOK PKWY, FRISCO, TX 75034-1003
(972) 712-1010
(972) 712-1011
Mailing address
7638 STONEBROOK PKWY, FRISCO, TX 75034-1003
(972) 712-1010
(972) 712-1011

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3923TG
TX
152WC0802X
Corneal and Contact Management Optometrist
3923TG
TX
152WP0200X
Pediatric Optometrist
3923TG
TX
152WX0102X
Occupational Vision Optometrist
3923TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00E41Y
GROUP PIN
TX
01
1234530001
DMERC
TX
01
1609936319
NPI
TX
01
1902852346
GROUP NPI
TX
01
3923TG
STATE LICENSE
TX
01
752711435
GROUP TAX ID
TN
01
8DT969
BLUE CROSS BLUE SHIELD
TX
01
K0122300
DPS
TX
Enumeration date
12/11/2006
Last updated
03/07/2023
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