Healthcare Provider Details

I. General information

NPI: 1316039969
Provider Name (Legal Business Name): FRANCINE CAMPOREALE O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8177 GLADES RD STE 3
BOCA RATON FL
33434-4063
US

IV. Provider business mailing address

8177 GLADES RD STE 3
BOCA RATON FL
33434-4063
US

V. Phone/Fax

Practice location:
  • Phone: 954-488-3855
  • Fax:
Mailing address:
  • Phone: 954-488-3855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC3095
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License NumberOPC3095
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: