Individual provider Active NPI

Rene Gonzales Camacho, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1376924837
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5057 Issued in FL
Practice address
6702 Bird Rd
Miami, FL 33155-3706
Phone
(305) 942-0575
NPI assigned
Jun 10, 2015
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5057 FL Primary

Addresses

Primary practice location

6702 Bird Rd
Miami, FL 33155-3706

Mailing address

1743 Westward Dr
Miami Springs, FL 33166-4908
Phone (305) 942-0575

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151111000756 FL Practitioner - Optometry 5496065070 Reassigns benefits to 2 organizations
I20251023003856 SC Practitioner - Optometry 5496065070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1979 Marcus Ave
Suite 206
New Hyde Park, NY 11042-1002

5 Dakota Dr
Suite 307
New Hyde Park, NY 11042-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5057FLMDOptometrist
2154SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care, PLLC Optometrist CurrentSince Aug 11, 2025 Accepting new patients
Eye Care Associates of SC LLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Mobile Doctors of Florida PA Optometrist CurrentSince Jul 1, 2015 Accepting new patients
Bay View Eye Care, LLC Optometrist Current Accepting new patients
Lesly's Optical & Eye Care, LLC Optometrist Current Accepting new patients
F Mason Smith Optometrist Past Accepting new patients

Locations

6419 W Newberry Rd
Ste B3
Gainesville, FL 32605
Phone (352) 331-6321

359 Marsh Landing Pkwy
Jacksonville Beach, FL 32250
Phone (904) 280-0011

3670 W Oakland Park Blvd
Lauderdale Lakes, FL 33311
Phone (305) 717-8181

6702 Bird Rd
Miami, FL 33155
Phone (305) 661-1567

316 S Hamilton Rd
Gahanna, OH 43230

321 Bacon St
Edgefield, SC 29824
Phone (803) 593-4508

966 Houston Northcutt Blvd
Ste D
Mt Pleasant, SC 29464
Phone (843) 881-2492

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1376924837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 WESTWARD DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331664908",
            "telephone_number": "305-942-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553706",
            "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": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.