Provider Demographics
NPI:1508900408
Name:DELCAMPO, OSMAY E (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:OSMAY
Middle Name:E
Last Name:DELCAMPO
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8625 SW 110TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-3505
Mailing Address - Country:US
Mailing Address - Phone:305-595-8127
Mailing Address - Fax:
Practice Address - Street 1:1770 W 32ND PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4512
Practice Address - Country:US
Practice Address - Phone:305-885-4477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2229156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician