Campbell, Michael Richard

Campbell, Michael Richard is an sole proprietor health care provider with primary practice located at 10 Hospital Center Cmns Ste 100 , Hilton Head Island SC 29926-2838. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Campbell, Michael Richard can be contacted via phone (843) 681-6682.

Contact Information

Primary practice address
10 Hospital Center Cmns Ste 100 Hilton Head Island SC 29926-2838
Fax: (843) 681-9582
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2231 South Carolina

Profile Details

NPI number 1013515014
LBN Legal business name Campbell, Michael Richard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2020
Last updated Oct 12th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013515014 NPPES
South Carolina MEDICAID 2231

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