Sinclair & Camp, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP02495 Issued in FL

Legal business name

SINCLAIR & CAMP, OD, PA

Practice address

615 S Orange Ave
Sarasota, FL 34236-7503

Phone

(941) 366-2892

Fax

(941) 366-2893

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lori Camp, ODNPI 1871550046

Title

Optometrist/Owner

Phone

(941) 366-2892

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
  • Bradenton, FL
  • NPI 1144287319

  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.

• Lori Camp, OD

  • Optometrist
  • Bradenton, FL
  • NPI 1871550046
  NPD Authorized official
• Jeffrey Sinclair, OD

  • Optometrist
  • Bradenton, FL
  • NPI 1558329540
  NPD

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1760449623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S ORANGE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367503",
            "telephone_number": "941-366-2892",
            "fax_number": "941-366-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S ORANGE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367503",
            "telephone_number": "941-366-2892",
            "fax_number": "941-366-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINCLAIR & CAMP, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "941-366-2892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP02495",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OP02495",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OP02495",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620040100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah L. Simpkins, DMD
• Simple Relief Health & Wellness Center LLC
• Simple Relief Health & Wellness Center LLC
• Simple Relief Wellness Centers LLC (Simple Relief Medical Centers)
• Max Sinal
• Joseph D. Singer, MD
• Arnoldo Singh, MD
• Sarita Singh, DO
• Konica Singla, MD
• Blake Singletary, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.