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CAMPBELL OPTOMETRIC GROUP
NPI 1114179009
Optometrist in Campbell, CA

Active since October 22, 2008
621 E CAMPBELL AVE STE 11B, CAMPBELL, CA 95008(408) 378-4661(408) 378-6160 Get Directions Write a Review

NPPES record last updated: October 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Campbell Optometric Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMPBELL OPTOMETRIC GROUP (NPI 1114179009) is a healthcare organization registered as an optometrist in Campbell, California and active in the NPI registry since October 2008. The organization lists Sherry Gould, Office Mananger, as its authorized official.

NPPES Registry Identity

NPI1114179009
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCAMPBELL OPTOMETRIC GROUP
Location Address621 E CAMPBELL AVE STE 11BCampbell, CA 95008-2136
Mailing Address621 E Campbell Ave Ste 11bCampbell, CA 95008-2136 · (408) 378-4661 · Fax (408) 378-6160
Phone(408) 378-4661
Fax(408) 378-6160
Organization SubpartNo
Authorized OfficialSherry GouldOffice Mananger · (408) 378-4661
Enumeration DateOctober 22, 2008
Last NPPES UpdateOctober 23, 2008
✔ NPI 1114179009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 5902T
Definition
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.
621 E CAMPBELL AVE STE 11B, Campbell, CA 95008
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Other Identifiers 5

Medicare UPINT10163CA
Medicare UPINU27788CA
Medicare PIN0405480001CA
Medicare NSC5195200001CA
MedicaidYYY49157YCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY CHRISTINE ZIMMERMAN CMT
Massage Therapist
621 E CAMPBELL AVE STE 11B
CAMPBELL, CA 95008
Santa Clara County (434) 249-9744
MICHELLE MUNOZ LAC, DTCM
Acupuncturist
621 E CAMPBELL AVE STE 11B
CAMPBELL, CA 95008
Santa Clara County (408) 605-0263

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Campbell Optometric Group's NPI number?

The NPI number for Campbell Optometric Group is 1114179009. It was assigned to this organization in the NPPES registry on October 22, 2008.

Where is Campbell Optometric Group located?

Campbell Optometric Group is located at 621 E Campbell Ave Ste 11B, Campbell, CA 95008. The listed phone number is (408) 378-4661.

What is Campbell Optometric Group's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Campbell Optometric Group was last updated on October 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.