# MARK P CARUSO, OD, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295860807
- **Authorized official:** DR. MARK P CARUSO OD (PRESIDENT)
- **Authorized official phone:** (954) 630-3070

## Contact information

- **Practice address:** 7730 W COMMERCIAL BLVD, SUNRISE, FL 33351-4301
- **Practice address phone:** (954) 578-1746
- **Mailing address:** 633 NW 28TH ST, WILTON MANORS, FL 33311-2462
- **Mailing address phone:** (954) 630-3070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3097 | FL | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 10/07/2015