Carcamo, Mario Ivan
Carcamo, Mario Ivan is an sole proprietor health care provider with primary practice located at 13852 Sw 88Th St , Miami FL 33186-1304. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Carcamo, Mario Ivan can be contacted via phone (305) 385-6885.Contact Information
Primary practice address
13852 Sw 88Th St
Miami FL 33186-1304
Phone: (305) 385-6885
Fax: (305) 380-7106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC002340 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC002340 | Florida |
Profile Details
| NPI number | 1063594364 |
|---|---|
| LBN Legal business name | Carcamo, Mario Ivan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Aug 10th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063594364 | NPPES |
| Florida | MEDICAID | 78938100 | |
| Florida | MEDICAID | 101895300 |
Popular Providers
-
Weiss, Edward
9844 Sw 40Th St , Miami FL 33165-3912 -
Dufek, Michael
10860 Sw 88Th St , Miami FL 33176-2680 -
Flores-Guerra, Judith
7800 Sw 104Th St , Miami FL 33156-2631 -
Gonzalez, Leoncio V
11760 Bird Rd Suite 101, Miami FL 33175-3549 -
Newman, Steven Mark
5831 Sw 137Th Ave , Miami FL 33183-1105 -
Sheir, Robert
2627 Ne 203Rd St Ste 116, Miami FL 33180-1900 -
Stern, Jodi Lyn
7352 Nw 34Th St , Miami FL 33122-1266 -
Awad, Abraham B.
1661 Sw 37Th Ave , Miami FL 33145-1754