Organization
NEW VISION UNLIMITED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO IVAN CARCAMO O.D. (DOCTOR/OWNER)
(305) 662-2990
Entity
Organization
Contact information
Practice address
12002 SW 128TH CT, MIAMI, FL 33186-4639
(305) 662-2990
(888) 371-2283
Mailing address
13852 SW 88TH ST, MIAMI, FL 33186-1304
(305) 662-2990
(888) 371-2283
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101895300
—
FL
Enumeration date
09/10/2021
Last updated
10/06/2021
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