Healthcare Provider Details

I. General information

NPI: 1528183753
Provider Name (Legal Business Name): MYOPTIQUE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 N FEDERAL HWY
POMPANO BEACH FL
33062-1026
US

IV. Provider business mailing address

2240 N FEDERAL HWY
POMPANO BEACH FL
33062-1026
US

V. Phone/Fax

Practice location:
  • Phone: 954-943-0053
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License NumberOPC3095
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License NumberOPC3719
License Number StateFL

VIII. Authorized Official

Name: DR. FRANCINE CAMPOREALE
Title or Position: PRESIDENT
Credential:
Phone: 954-943-0053