MEDICARE: MEGAN CAMPBELL OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	10831TG	TX

General Provider Information

NPI Number	:	1457035040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN CAMPBELL OD

Provider Business Mailing Address
First Line	:	1280 SAM RAYBURN HWY STE 600
Second Line	:
City	:	MELISSA
State	:	TX
Zip	:	75454-2246
Country	:	US
Telephone Number	:	972-837-2222
Fax Number	:	972-837-2223

Provider Business Practice Location Address
First Line	:	1280 SAM RAYBURN HWY STE 600
Second Line	:
City	:	MELISSA
State	:	TX
Zip	:	75454-2246
Country	:	US
Telephone Number	:	214-511-5386
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2023
Last Update Date	:	05/30/2026

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Directions to “ MEGAN CAMPBELL OD” Practice Location

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