Michael P De Carlo Optometrist Inc is a medicare enrolled "Eyewear Supplier" provider in Placentia, California. Their current practice location is
1428 N Kraemer Blvd, Placentia, California. You can reach out to their office (for appointments etc.) via phone at
(714) 996-1136.
Michael P De Carlo Optometrist Inc is licensed to practice in California (license number 9416TPG) and it also participates in the medicare program. Michael P De Carlo Optometrist Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1336351998.
Healthcare Provider's Profile
Full Name | Michael P De Carlo Optometrist Inc |
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Type | Facility |
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Speciality | Eyewear Supplier |
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Location | 1428 N Kraemer Blvd, Placentia, California |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336351998
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 03/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688618663
- Enrollment ID: O20050611000007
Medical Identifiers
Medical identifiers for Michael P De Carlo Optometrist Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336351998 | NPI | - | NPPES |
SD0094160 7 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152WL0500X | Optometrist - Low Vision Rehabilitation | 9416T (California) | Secondary |
332H00000X | Eyewear Supplier | 9416TPG (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Michael P De Carlo Optometrist Inc acts as a billing entity for following providers:
Provider Name | Michael P De Carlo |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1346327673 PECOS PAC ID: 6406962042 Enrollment ID: I20120306000442 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael P De Carlo Optometrist Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael P De Carlo Optometrist Inc 1428 N Kraemer Blvd, Placentia, CA 92870-3406 Ph: (714) 996-1136 | Michael P De Carlo Optometrist Inc 1428 N Kraemer Blvd, Placentia, CA 92870 Ph: (714) 996-1136 |
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