DR. JEREMY SHANE CAMPBELL (NPI# 1710088711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710088711 |
| Entity Type | Individual |
| Full Name | DR. JEREMY SHANE CAMPBELL |
| Credential | O.D. |
| Practice Address |
14378 Highway 43 Russellville AL 35653-2568 |
| Practice Telephone | 2563321355 |
| Practice Fax Number | 2563321315 |
| Mailing Telephone | 2563321355 |
| Mailing Fax Number | 2563321315 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2010-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | S-A80-TA-660 | AL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529930260 | 05 | |
| AL | 009940024 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053742544 | Jeremy Todd Campbell | Counselor | 826 Deleware Ave, Fountain Hill, PA 18015 | 2013-12-09 |
| 1063812162 | Jeremy Brian Campbell | Physical Therapist | 227 E Ontario St, Suite 201, Chicago, IL 60611-3385 | 2014-08-26 |
| 1649691148 | Jeremy Campbell | Emergency Medicine | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2013-12-31 |
| 1417296575 | Jeremy Levi Campbell | Physical Therapist | 3446 Masonic Dr, Alexandria, LA 71301-3615 | 2013-02-11 |
| 1043587223 | Jeremy Campbell | Pharmacist | 6365 I 55 N, Jackson, MS 39213-9742 | 2011-11-16 |
| 1417255787 | Jeremy Fane Campbell | Acupuncturist | 621 Water St, Santa Cruz, CA 95060-4146 | 2011-03-10 |
| 1942506142 | Jeremy Campbell | Day Training/Habilitation Specialist | 5466 Spanish Moss Dr, Sparks, NV 89436-2660 | 2011-02-04 |
| 1194925669 | Jeremy H Campbell | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2007-07-23 |
| 1841346368 | Jeremy S. Campbell | Physician Assistant | 16120 W Dodge Rd, Omaha, NE 68118-2049 | 2007-01-26 |
| 1477533826 | Jeremy Campbell | Family Medicine | 1930 Tamarack Rd, Newark, OH 43055-2303 | 2006-01-20 |
| Street Address |
14378 HIGHWAY 43 |
| City | RUSSELLVILLE |
| State | AL |
| Zip Code | 35653-2568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649371550 | Campbell Vision Center, Inc. | Optometrist | 14378 Highway 43, Russellville, AL 35653-2568 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902384720 | Randy Wade Gooch | Pharmacist | 13675 Us-43, Russellville, AL 35653 | 2018-08-02 |
| 1700301470 | Carole Ann Montgomery | Pharmacist | Walmart Pharmacy, 13675 Us-43, Russellville, AL 35653 | 2017-08-03 |
| 1548632755 | Amanda Carrie Franks | Health Educator | 265 Skyline Dr, Russellville, AL 35653 | 2015-10-27 |
| 1023411220 | Wesley Charles Mayfield | Pharmacist | 14001 Hwy 43 Suite 13, Russellville, AL 35653 | 2014-10-01 |
| 1831322841 | Family Health Care Clinic, Inc. | Clinic/Center | 318 Coffee Ave Ne, Russellville, AL 35653 | 2009-08-25 |
| 1538371075 | Eyedocs On Wheels PC | Optometrist | 15255 Hwy 43, Russellville, AL 35653 | 2007-05-04 |
| 1063634574 | Russellville Physician Practices LLC | Orthopaedic Surgery | 715 Gandy Street Ne, Suite B, Russellville, AL 35653 | 2007-05-03 |
| 1750404141 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 14695 Hwy 43, Russellville, AL 35653 | 2007-04-09 |
| 1629111703 | Franklin County Health Dept Offsite Epsdt | Public Health or Welfare | 801 Highway 48, Russellville, AL 35653 | 2007-02-15 |
| 1750457941 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 318 Coffee Avenue, Russellville, AL 35653 | 2006-11-28 |
| Find all providers in zip 35653 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1114115433 | Scott Eye Clinic Pa | Optometrist | 214 E 4th St, Russellville, AR 72801-5134 | 2007-10-11 |
| 1538371075 | Eyedocs On Wheels PC | Optometrist | 15255 Hwy 43, Russellville, AL 35653 | 2007-05-04 |
| 1033246707 | Barrow Eye Center | Optometrist | 709 E 4th St, Russellville, KY 42276-1859 | 2007-02-28 |
| 1083752570 | Lori J Canfield | Optometrist | 317 East Parkway Drive, Daiber Vision Care, Russellville, AR 72801-3915 | 2007-02-05 |
| 1609926344 | Amy Jeanine Daiber | Optometrist | 317 East Parkway Dr, Russellville, AR 72801-3915 | 2007-01-12 |
| 1649352741 | Martha R Morrow | Optometrist | 15255 Highway 43, Suite 1, Russellville, AL 35653-1924 | 2006-10-19 |
| 1033120662 | Darla Sherrod Barrow | Optometrist | 709 East 4th St, Russellville, KY 42276 | 2006-08-10 |
| 1467487744 | Henry Keith Scott | Optometrist | 214 East 4th St, Russellville, AR 72801 | 2006-07-12 |
| 1588610372 | Martin J Jensen | Optometrist | 105 Robins Way, Suite 206, Russellville, KY 42276-1820 | 2006-05-25 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 35653 |
Please comment or provide details below to improve the information on DR. JEREMY SHANE CAMPBELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.