Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Camila Diaz Legra, LICENSEOPTICIAN

Individual provider Optician · NPI 1073383071

Camila Diaz Legra, LICENSEOPTICIAN is an Optician in Brandon, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

11110 Causeway Blvd
Brandon, FL 33511-2900
Phone: (813) 657-4810
Fax: (813) 657-3721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 1808 (FL)

Record details

NPI number1073383071
Entity typeIndividual (Type 1)
GenderMale
Credentials LICENSEOPTICIAN
Sole proprietorYes
NPI enumeratedJanuary 2, 2024
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024

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