Provider Demographics
NPI:1558385583
Name:CAMPBELL, STEVEN ERIC (OD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ERIC
Last Name:CAMPBELL
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12564
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-0564
Mailing Address - Country:US
Mailing Address - Phone:210-496-9803
Mailing Address - Fax:210-496-0313
Practice Address - Street 1:1900 N MAIN AVE STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-3942
Practice Address - Country:US
Practice Address - Phone:210-225-7183
Practice Address - Fax:210-212-6659
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04011TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX410043241OtherMEDICARE RAILROAD
TX84P071OtherBLUE CROSS BLUE SHIELD
TX3047098001OtherCIGNA FLEX POS
TX3047098002OtherCIGNA COM HMO
TX019134802Medicaid
TX2500839OtherUNITED HEALTH
TX8182084OtherBLUE CHOICE-BLUE LINK-INDIVIDUAL
TX5486005OtherAETNA
TX7891175OtherAETNA - GROUP ID
TX84P071OtherMEDICARE
TX168300061OtherPACIFICARE OF TEXAS
TX3364062OtherBLUE LINK - GROUP
TX3364062OtherBLUE LINK - GROUP