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Organization
SINCLAIR & CAMP OD PA
Active
Organization
SINCLAIR & CAMP OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SINCLAIR OD (OWNER OPTOMETRIST)
(941) 752-2020
Entity
Organization
Contact information
Practice address
9122 58TH DR E, BRADENTON, FL 34202-9187
(941) 752-2020
(941) 752-2040
Mailing address
9122 58TH DR E, BRADENTON, FL 34202-9187
(941) 752-2020
(941) 752-2040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP02661
FL
152WC0802X
Corneal and Contact Management Optometrist
OP02661
FL
152WP0200X
Pediatric Optometrist
OP02661
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620040101
—
FL
Enumeration date
04/29/2006
Last updated
04/14/2023
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