Individual
DR. JAMES M CAMPBELL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
103 DIECKS DR, ELIZABETHTOWN, KY 42701-2444
(270) 769-1397
(270) 765-4899
Mailing address
103 DIECKS DR, ELIZABETHTOWN, KY 42701-2444
(270) 769-1397
(270) 765-4899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0584 DT
KY
152WV0400X
Vision Therapy Optometrist
0584DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000046005
ANTHEM BLUE CROSS
KY
05
—
77008548
—
KY
01
—
900781
BLOCK VISION
KY
Enumeration date
05/26/2005
Last updated
05/08/2008
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