Decarlo, Michael P
Decarlo, Michael P is an individual health care provider with primary practice located at 1428 N Kraemer Blvd , Placentia CA 92870. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Decarlo, Michael P can be contacted via phone (714) 996-1136.Contact Information
Primary practice address
1428 N Kraemer Blvd
Placentia CA 92870
Phone: (714) 996-1136
Fax: (714) 996-0793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 9416TPG | California |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 9416T | California |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 9416TPG | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 9416TPG | California |
Profile Details
| NPI number | 1346327673 |
|---|---|
| LBN Legal business name | Decarlo, Michael P |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Oct 17th, 2018 - about 7 years ago |
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 | 1346327673 | NPPES |
| California | MEDICAID | SD0094160 7 |
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