DR. MARIO IVAN CARCAMO (NPI# 1063594364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063594364 |
| Entity Type | Individual |
| Full Name | DR. MARIO IVAN CARCAMO |
| Credential | O.D. |
| Practice Address |
13852 Sw 88th St Miami FL 33186-1304 |
| Practice Telephone | 3053856885 |
| Practice Fax Number | 3053807106 |
| Mailing Telephone | 3053856885 |
| Mailing Fax Number | 3053807106 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2018-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC002340 | FL | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OPC002340 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 78938100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518916725 | Mario P Carcamo | Pediatrics | 4440 Brockton Ave, Suite 420, Riverside, CA 92501-4068 | 2006-05-08 |
| Street Address |
13852 SW 88TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922379148 | New Vision Unlimited LLC | Optometrist | 13852 Sw 88th St, Miami, FL 33186-1304 | 2012-01-19 |
| 1730458456 | Premier Eye Group Inc | Optometrist | 13852 Sw 88th St, Miami, FL 33186-1304 | 2011-12-27 |
| 1922381409 | Adriana Carcamo | Optometrist | 13852 Sw 88th St, Miami, FL 33186-1304 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353167 | Sherri Rockower Od Ms Pa | Optometrist | 3675 Sw 24th St, Miami, FL 33145-3001 | 2020-07-08 |
| 1104440437 | Sahar Eltalla | Optometrist | 1670 Ne 185th St, Miami, FL 33179-4900 | 2020-06-02 |
| 1275164238 | Madelyn Diaz | Optometrist | 7000 Sw 97th Ave Ste 203, Miami, FL 33173-1492 | 2020-01-29 |
| 1417588658 | Jacqueline Zapata | Optometrist | 1097 S Lejeune Rd, Miami, FL 33134-2639 | 2020-01-27 |
| 1205471687 | Senia V Bustillo Od Pa | Optometrist | 8765 Sw 165th Avenue, Suite 107, Miami, FL 33193 | 2019-11-09 |
| 1457904765 | Melissa Otero | Optometrist | 1436 Sw 14th Ter, Miami, FL 33145-1543 | 2019-07-17 |
| 1700445772 | Amanda Reyes | Optometrist | 8485 Sw 40th St Ste 103, Miami, FL 33155-3262 | 2019-06-12 |
| 1972072494 | Buena Vista Vision Club, Inc | Optometrist | 13780 Sw 26th St Ste 201, Miami, FL 33175-6302 | 2018-11-14 |
| 1134602014 | Coralys Galloza Bonilla | Optometrist | 920 Sw 67th Ave, Miami, FL 33144-4761 | 2018-09-07 |
| 1558847608 | Public Eye Optical, Pa | Optometrist | 537 Sw 12th Ave, Miami, FL 33130-2413 | 2018-07-12 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.