Provider Demographics
NPI:1164314886
Name:DOS DEL CAMPOS
Entity type:Organization
Organization Name:DOS DEL CAMPOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:MZ
Authorized Official - Last Name:DEL CAMPO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:804-241-3664
Mailing Address - Street 1:10125 SPRUCE RIVER WAY
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-2132
Mailing Address - Country:US
Mailing Address - Phone:804-241-3664
Mailing Address - Fax:
Practice Address - Street 1:725 LIGHTHOUSE DRIVE
Practice Address - Street 2:NEW TARGET OPTICAL #Q350
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34212
Practice Address - Country:US
Practice Address - Phone:941-277-8487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty