Individual
DR. SCOTT WELLS CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000022
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054850001
ADMINASTAR
VA
01
—
117070
EYE MED
VA
01
—
217722
ANTHEM
VA
01
—
42679
DAVIS VISION
VA
05
—
9205551
—
VA
Enumeration date
10/19/2006
Last updated
07/08/2007
Update your record
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