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Contact Information

MICHAEL P DECARLO, OD
1428 N KRAEMER BLVD
PLACENTIA, CA92870
 Phone: 714-996-1136
 Fax: 714-996-0793
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
 

Occupational Vision

152WX0102X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHAEL P DECARLO · (Male)

NPI Number 1346327673
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 11/01/2006
Last updated 10/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 9416T
  • CA License # 9416TPG
  • CA Medicaid SD0094160 7
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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