NPIMap

Organization Active NPI

New Vision Unlimited LLC

  • Optometrist
  • Miami, FL
National Provider Identifier
1609643204
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NEW VISION UNLIMITED LLC
Practice address
11734 SW 104TH St
Miami, FL 33186-3601
Phone
(305) 662-2990
Fax
(888) 371-2283
NPI assigned
Dec 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Mario Ivan Carcamo, O.D.
Title
Owner
Phone
(305) 662-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

11734 SW 104TH St
Miami, FL 33186-3601

Mailing address

13852 SW 88TH St
Miami, FL 33186-1304
Phone (305) 662-2990

National Provider Directory

National Provider Directory
Tax ID family
New Vision Unlimited LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11734 SW 104th St
Miami, FL 33186
Phone (305) 606-7267

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1609643204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13852 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861304",
            "telephone_number": "305-662-2990",
            "fax_number": "888-371-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11734 SW 104TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863601",
            "telephone_number": "305-662-2990",
            "fax_number": "888-371-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION UNLIMITED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "CARCAMO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-662-2990",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.