Provider Demographics
NPI:1861183014
Name:CAMPBELL, JULIA ROSE (OD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ROSE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7333 BARLITE BLVD STE 401
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1324
Mailing Address - Country:US
Mailing Address - Phone:210-927-2666
Mailing Address - Fax:
Practice Address - Street 1:7333 BARLITE BLVD STE 401
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1324
Practice Address - Country:US
Practice Address - Phone:210-927-2666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6249152W00000X
TX10877152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist