Individual provider Active NPI

Adriana Carcamo, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1922381409
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4641 Issued in FL
Practice address
13852 SW 88TH St
Miami, FL 33186-1304
Phone
(305) 662-2990
Fax
(305) 380-7106
NPI assigned
Sep 21, 2011
Last updated
Jul 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4641 FL Primary

Addresses

Primary practice location

13852 SW 88TH St
Miami, FL 33186-1304

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
004659200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130213000445 FL Practitioner - Optometry 9830343151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Vision Unlimited LLCGroup PAC ID 2264695436, 5 clinicians

Practice addresses (Care Compare)

900 Biscayne Blvd
R106
Miami, FL 33132-1561
Phone (305) 662-2990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4641FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University, Inc Optometrist Current Accepting new patients
Nova Southeastern University, Inc CurrentSince Oct 21, 2013 Accepting new patients
New Vision Unlimited LLC Optometrist CurrentSince Oct 21, 2012 Accepting new patients
Nova Southeastern University Inc. CurrentSince Oct 21, 2013 Accepting new patients
New Vision Unlimited LLC Optometrist Past Accepting new patients
New Vision Unlimited LLC Optometrist PastSince Oct 10, 2021 Accepting new patients
New Vision Unlimited LLC Optometrist Past Accepting new patients
New Vision Unlimited LLC Optometrist Past Accepting new patients
New Vision Unlimited LLC Optometrist Past Accepting new patients
New Vision Unlimited LLC Optometrist Past Accepting new patients
New Vision Unlimited LLC Optometrist Past Accepting new patients
New Vision Unlimited LLC Optometrist Past Accepting new patients
New Vision Unlimited LLC Optometrist Past Accepting new patients
New Vision Unlimited LLC Optometrist Past Accepting new patients
New Vision Unlimited LLC Optometrist Past Accepting new patients

Locations

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

1297 W 49th St
Hialeah, FL 33012
Phone (305) 512-9194

13852 SW 88th St
Miami, FL 33186
Phone (305) 385-6885

7500 NW 25th St
Ste 117
Miami, FL 33122

12002 SW 128th Ct
Ste 102
Miami, FL 33186
Phone (305) 971-0109

1555 Sunset Dr
Miami, FL 33143

900 Biscayne Blvd
#R106
Miami, FL 33132

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1922381409",
    "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": "305-380-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13852 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861304",
            "telephone_number": "305-662-2990",
            "fax_number": "305-380-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCAMO",
        "first_name": "ADRIANA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004659200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.