| NPI | 1760449623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI CAMP O PT Ometrist/Owner 941-366-2892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OP02495) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OP02495) |
| 152WP0200X Optometrist, Pediatrics (Licence: FL OP02495) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2009-04-30 |