Michael P. Decarlo Optometrist, Inc.
LBN: Michael P De Carlo Optometrist Inc
Michael P. Decarlo Optometrist, Inc. is an health care organization with primary practice located at 1428 N Kraemer Blvd , Placentia CA 92870. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty.
Michael P De Carlo Optometrist Inc can be contacted via phone (714) 996-1136, or through Decarlo, Michael P via phone (562) 881-2454.
Contact Information
Primary practice address
1428 N Kraemer Blvd
Placentia CA 92870
Phone: (714) 996-1136
Fax: (714) 996-0793
Website:
Authorized official contact:
Name: Decarlo, Michael P Doctor of Optometry (OD)
Phone: (562) 881-2454
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 9416T | California |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 9416TPG | California |
Profile Details
| NPI number | 1336351998 |
|---|---|
| LBN Legal business name | Michael P De Carlo Optometrist Inc |
| DBA Doing business as | Michael P. Decarlo Optometrist, Inc. |
| Authorized official | Decarlo, Michael P Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Mar 3rd, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336351998 | NPPES |
| California | MEDICAID | SD0094160 7 |
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