National Provider Identifier Database

MICHAEL P DE CARLO OPTOMETRIST INC
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

MICHAEL P DE CARLO OPTOMETRIST INC
1428 N KRAEMER BLVD
PLACENTIA, CA92870
Phone: 714-996-1136
Fax: 714-996-0793
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X
Low Vision Rehabilitation 152WL0500X

* Indicates primary specialty

NPI Profile & details for MICHAEL P DE CARLO OPTOMETRIST INC

NPI Number 1336351998
Legal business name
LBN
MICHAEL P DE CARLO OPTOMETRIST INC
Authorized official MICHAEL DECARLO - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/04/2007
Last updated 03/03/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 9416T
  • CA License #: 9416TPG
  • CA Medicaid: SD0094160 7

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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