Provider Type Icon

MICHAEL P DECARLO OPTOMETRIST INC NPI 1336351998


NPI Information

NPI: 1336351998
Provider Name: MICHAEL P DECARLO OPTOMETRIST INC

Doing Business As: MICHAEL P. DECARLO OPTOMETRIST, INC.

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1428 N KRAEMER BLVD
PLACENTIA, CA
ZIP 92870
Phone: (714) 996-1136
Get Directions

MICHAEL P DECARLO OPTOMETRIST INC is an eyewear supplier in Placentia, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. MICHAEL P DECARLO OPTOMETRIST INC NPI is 1336351998. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Michael P. Decarlo Optometrist, Inc..

The provider's business location address is:

1428 N KRAEMER BLVD
PLACENTIA, CA
ZIP 92870
Phone: (714) 996-1136
Fax: (714) 996-0793

The provider's authorized official is Michael P Decarlo .
The authorized official title is President and has the following contact phone number (562) 881-2454.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 6/29/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WL0500XOptometristLow Vision Rehabilitation9416TCALIFORNIANo
2332H00000XEyewear Supplier9416TPGCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SD0094160 7MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.