Rene Gonzales Camacho, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5057 Issued in FL

Practice address

1524 Whitehall Dr
Apt 201
Davie, FL 33324-6677

Phone

(305) 942-0575

NPI assigned

Jun 10, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, SC2 enrollments

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 2

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Family First Vision Care, PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1104341882
  Medicare reassignment NPD
• Mobile Doctors of Florida PA

  • Optometrist
  • North Bay Village, FL
  • NPI 1720312440
  Medicare reassignment NPD
• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569
  Medicare reassignment NPD
• Bay View Eye Care, LLC

  • Optometrist
  • Miami, FL
  • NPI 1730052994
  NPD Authorized official
• Lesly'S Optical & Eye Care, LLC

  • Optometrist
  • Miami, FL
  • NPI 1740856590
  NPD Authorized official
• F Mason Smith

  • Optometrist
  • Mt Pleasant, SC
  • NPI 1477795722
  NPD (past)

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1376924837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 WHITEHALL DR",
            "address_2": "APT 201",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333246677",
            "telephone_number": "305-942-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 WHITEHALL DR",
            "address_2": "APT 201",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333246677",
            "telephone_number": "305-942-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES CAMACHO",
        "first_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Armando Gomez
• Juan Gomez
• Krystel Gomez
• Lyan Gondin Hernandez, MD
• Khallilah Gonsalves, COTA
• Daniel Alejandro Gonzales-Portillo
• Sulia Danneysi Gonzalez Almeida
• Talia Michelle Gonzalez Hernandez
• Alanis Gonzalez Soto
• Anaiyeli Gonzalez Valladares

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.