Individual provider Active NPI

Lori Camp, OD

  • Optometrist
  • Bradenton, FL
National Provider Identifier
1871550046
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP02495 Issued in FL
Practice address
9122 58TH Dr E
Bradenton, FL 34202-9187
Phone
(941) 752-2020
NPI assigned
Apr 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OP02495 FL
Pediatric Optometrist 152WP0200X OP02495 FL
Optometrist 152W00000X OP02495 FL Primary

Addresses

Primary practice location

9122 58TH Dr E
Bradenton, FL 34202-9187

Mailing address

9122 58TH Dr E
Bradenton, FL 34202-9187
Phone (941) 752-2020

Other identifiers 1

IdentifierTypeStateIssuer
078884800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100201000223 FL Practitioner - Optometry 8123129228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sinclair and Camp OD PAGroup PAC ID 4789788100, 2 clinicians

Practice addresses (Care Compare)

9122 58TH Dr E
Bradenton, FL 34202-9187
Phone (941) 752-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP02495FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sinclair & Camp OD PA Optometrist CurrentSince Jan 13, 1997 Accepting new patients
Sinclair & Camp, OD, PA Optometrist CurrentSince Jan 13, 1997 Accepting new patients

Locations

9122 58th Dr E
Bradenton, FL 34202
Phone (941) 752-2020

615 S Orange Ave
Sarasota, FL 34236
Phone (941) 366-2892

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": "1146268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1871550046",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "LORI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-29",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OP02495",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OP02495",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP02495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078884800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.