Individual
DR. BRADLEY S CAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
103 N FRONT ST, NORTH MANCHESTER, IN 46962-1529
(260) 982-8798
(260) 982-1822
Mailing address
103 FRONT ST, PO BOX 333, NORTH MANCHESTER, IN 46962-1529
(260) 982-8798
(260) 982-1822
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001838
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000288123
ANTHEM
—
05
—
100105320A
—
IN
01
—
IN1838
EYEMED VISION CARE
IN
Enumeration date
08/09/2005
Last updated
07/21/2022
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