=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871796524
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KAMPE FAMILY EYE CARE, O.D., P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/08/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 645 PATTON AVE INSIDE SAM'S OPTICAL
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28806-3834
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-252-1212
-----------------------------------------------------
Fax | 828-252-1248
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 645 PATTON AVE INSIDE SAM'S OPTICAL
-----------------------------------------------------
City | ASHEVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28806-3834
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-252-1212
-----------------------------------------------------
Fax | 828-252-1248
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER-OPTOMETRIST
-----------------------------------------------------
Name | DR. FLOY W. KAMPE
-----------------------------------------------------
Credential | O.D.
-----------------------------------------------------
Telephone | 828-252-1212
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 1798
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------