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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 Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHAEL P DE CARLO OPTOMETRIST INC

NPI Number 1336351998
LBN Legal business name MICHAEL P DE CARLO OPTOMETRIST INC
Authorized official MICHAEL DECARLO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2007
Last updated 03/03/2023 - About 3 years ago
Identifiers
CA License # 9416T
CA License # 9416TPG
CA Medicaid SD0094160 7
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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