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Individual

JIMMY R CAM

Active
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Individual

JIMMY R CAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LDO

Taxonomy

Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
Primary
930
CA
156FX1800X
Optician
D6907
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112600
EYEMED
CA
01
1399
MEDICAL EYE SERVICES
CA
05
DX0037630
CA
01
JO18693
SPECTERA
CA
Enumeration date
03/22/2007
Last updated
09/11/2025
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