Mario Ivan Carcamo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC002340 Issued in FL

Practice address

13852 SW 88TH St
Miami, FL 33186-1304

Phone

(305) 385-6885

Fax

(305) 380-7106

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of California - School of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Vision Unlimited LLCGroup PAC ID 2264695436, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Vision Unlimited LLC

  • Optometrist
  • Miami, FL
  • NPI 1922379148
  Medicare reassignment Care Compare group NPD
• New Vision Unlimited LLC

  • Optometrist
  • Miami, FL
  • NPI 1629740832
  NPD (past) Authorized official
• Vision Unlimited of Weston LLC

  • Optometrist
  • Weston, FL
  • NPI 1538812003
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1063594364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13852 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861304",
            "telephone_number": "305-385-6885",
            "fax_number": "888-371-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13852 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861304",
            "telephone_number": "305-385-6885",
            "fax_number": "305-380-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCAMO",
        "first_name": "MARIO",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC002340",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC002340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78938100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101895300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Carbot, APF-1729871099-25666
• Yadira Carbot
• Olimpia Mihaela Carbunar, M.D., M.S.
• Nicholas Carby, LPN
• Adriana Carcamo, O.D.
• Yvonne Marie Carcamo
• Marilyn B. Carcas, LMHC
• Naylan Carcasses
• Aimee Gretel Carcedo Olive
• Karen Denise Card, OTR/L

• Optometrist in Miami, FL
• Providers in Miami, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.