Mario Carcamo PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MARIO CARCAMO PA

Practice address

7795 W Flagler St
#63
Miami, FL 33144-2368

Phone

(305) 662-2990

Fax

(305) 380-7106

NPI assigned

Jul 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mario Ivan Carcamo, O.D.

Title

Manager Owner

Phone

(305) 662-2990

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MARIO CARCAMO O.D. Doing business as

Locations

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1386875896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7795 W FLAGLER ST",
            "address_2": "#63",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442359",
            "telephone_number": "305-662-2990",
            "fax_number": "305-380-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7795 W FLAGLER ST",
            "address_2": "#63",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442368",
            "telephone_number": "305-662-2990",
            "fax_number": "305-380-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO CARCAMO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "CARCAMO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "MANAGER OWNER",
        "authorized_official_telephone_number": "305-662-2990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078938100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARIO CARCAMO O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mario & Clara Medical Supplies, Inc.
• Mario a Almeida MD PA
• Mario a Delgado MD PA
• Mario a Jimenez MD PA
• Mario Aguado MD PA
• Mario Deliveries, Inc
• Mario E Reyes MD PA
• Mario J Sanchez-Martinez MD PA
• Mario Jose Hernandez DDS, Inc
• Mario L Nunez M D P a

• 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 Sep 17, 2013; 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.