# JAY CRUMP OD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FLORIDA EYE CARE CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255448536
- **Authorized official:** DR. PARNELL JAY CRUMP JR. OD (PRESIDENT)
- **Authorized official phone:** (941) 794-1333

## Contact information

- **Practice address:** 5306 CORTEZ RD W, STE 3, BRADENTON, FL 34210-2821
- **Practice address phone:** (941) 794-1333
- **Practice address fax:** (941) 794-5640
- **Mailing address:** 5306 CORTEZ RD W, STE 3, BRADENTON, FL 34210-2821
- **Mailing address phone:** (941) 794-1333
- **Mailing address fax:** (941) 794-5640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 2343 | FL | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 10/22/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 084786100 | — | FL |