Active NPI
Mark Caruso, O.D.
- Optometrist
- Sunrise, FL
National Provider Identifier
1306389739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3097
- Practice address
- 7730 W Commercial Blvd
Sunrise, FL 33351-4301 - Phone
- (954) 578-1746
- NPI assigned
- Dec 3, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3097 | FL | Primary |
Addresses
Primary practice location
7730 W Commercial Blvd
Sunrise, FL 33351-4301
Mailing address
633 NW 28TH St
Wilton Manors, FL 33311-2462
Phone (954) 295-0404
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC3097 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark P Caruso, OD, PA | Optometrist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Optometrist
- Orlando, FL
- NPI 1164308771
-
- Optometrist
- Sunrise, FL
- NPI 1295860807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480723200000",
"number": "1306389739",
"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": "954-295-0404"
},
{
"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": {
"last_name": "CARUSO",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-03",
"last_updated": "2016-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.