Individual
DR. SCOTT WELLS CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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
—
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
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