Mark P Caruso, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3097 Issued in FL

Legal business name

MARK P CARUSO, OD, PA

Practice address

7730 W Commercial Blvd
Sunrise, FL 33351-4301

Phone

(954) 578-1746

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark P Caruso, ODNPI 1306389739

Title

President

Phone

(954) 630-3070

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Caruso, O.D.

  • Optometrist
  • Sunrise, FL
  • NPI 1306389739
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1295860807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 NW 28TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333112462",
            "telephone_number": "954-630-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 W COMMERCIAL BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333514301",
            "telephone_number": "954-578-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK P CARUSO, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-630-3070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edgar A. Marin, MD
• Kayla Marin
• Mark S Willner MD PA
• Francine Marks-Weinstein, L.M.H.C.
• Marmelyaam LLC
• Heather Marolda, MSW
• Graciela P Marques

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.