Dr. Mario Ivan Carcamo
Optometrist Optomitrist - Corneal and Contact Lenses
13852 Sw 88th St
Miami
, Florida 33186-1304
Dr. Mario Ivan Carcamo
Optometrist Optomitrist - Corneal and Contact Lenses
13852 Sw 88th St
Miami
, Florida 33186-1304
(305) 380-7106
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Mario Ivan Carcamo
- 13852 Sw 88th St
- Miami, FL
- Zip : 33186-1304
- Fax : (305) 380-7106
- Phone : (305) 385-6885
Second Address
- Dr. Mario Ivan Carcamo
- 13852 Sw 88th St
- Miami, FL
- Zip : 33186-1304
- Fax : (305) 380-7106
- Phone : (305) 385-6885
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC002340 | FL |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OPC002340 | FL |
National Provider Identifier
| NPI | 1063594364 |
|---|---|
| Provider Name | Dr. Mario Ivan Carcamo |
| First Address | Miami, FL 33186-1304 |
| Second Address | Miami, FL 33186-1304 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2006 |
| Last Update Date | 24/07/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 78938100 | (05) | FL |
| U26173 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.