Sinclair & Camp OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP02661 Issued in FL

Legal business name

SINCLAIR & CAMP OD PA

Practice address

9122 58TH Dr E
Bradenton, FL 34202-9187

Phone

(941) 752-2020

Fax

(941) 752-2040

NPI assigned

Apr 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Sinclair, ODNPI 1558329540

Title

Owner Optometrist

Phone

(941) 752-2020

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sinclair & Camp, OD, PA

  • Optometrist
  • Sarasota, FL
  • NPI 1760449623

  O20070719000228

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Sinclair, OD

  • Optometrist
  • Bradenton, FL
  • NPI 1558329540
  Medicare reassignment Care Compare group NPD Authorized official
• Lori Camp, OD

  • Optometrist
  • Bradenton, FL
  • NPI 1871550046
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1144287319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9122 58TH DR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342029187",
            "telephone_number": "941-752-2020",
            "fax_number": "941-752-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9122 58TH DR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342029187",
            "telephone_number": "941-752-2020",
            "fax_number": "941-752-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINCLAIR & CAMP OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-29",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER  OPTOMETRIST",
        "authorized_official_telephone_number": "941-752-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP02661",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OP02661",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OP02661",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620040101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Nicole Simon, M.S. CCC-SLP
• Stacy Lynne Simon, DC
• Simonmed Imaging Florida LLC (Simonmed Imaging Park South)
• Nakyra Laquan Simpkins
• Wendy Sims, PH.D.
• Eugene B Sinclair Jr., ATC
• Jeffrey Sinclair, OD
• Nelka Sinclair, R.N
• Manju Singh, MD
• Prabjot Singh, RN

• Optometrist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.