Individual provider Active NPI

David Marc Camporeale, LDO

  • Optician
  • Boca Raton, FL
National Provider Identifier
1740410729
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
5930 Issued in FL
Practice address
8177 Glades Rd
Bay-03
Boca Raton, FL 33434-4071
Phone
(561) 479-4765
Fax
(561) 479-4628
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 5930 FL Primary

Addresses

Primary practice location

8177 Glades Rd
Bay-03
Boca Raton, FL 33434-4071

Mailing address

8177 Glades Rd
Bay-03
Boca Raton, FL 33434-4071
Phone (561) 479-4765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5930FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyewear Optician Past Accepting new patients
Ifocus Optometry Inc PastSince Jul 6, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1740410729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8177 GLADES RD",
            "address_2": "BAY-03",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344071",
            "telephone_number": "561-479-4765",
            "fax_number": "561-479-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8177 GLADES RD",
            "address_2": "BAY-03",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344071",
            "telephone_number": "561-479-4765",
            "fax_number": "561-479-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOREALE",
        "first_name": "DAVID",
        "middle_name": "MARC",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "5930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.