MICHAEL P. DECARLO OPTOMETRIST, INC.
NPI 1336351998
Eyewear Supplier in Placentia, CA
NPI Status: Active since May 04, 2007
Contact Information
1428 N KRAEMER BLVD
PLACENTIA, CA
ZIP 92870
Phone: (714) 996-1136
Fax: (714) 996-0793
- Organization
- Eyewear Supplier
- Accepts Insurance
About MICHAEL P. DECARLO OPTOMETRIST, INC.
This page provides the complete NPI Profile along with additional information for Michael P. Decarlo Optometrist, Inc., a provider established in Placentia, California operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1336351998 assigned on May 2007. The practitioner's primary taxonomy code is 332H00000X with license number 9416TPG (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Michael P. Decarlo Optometrist, Inc.. The authorized official of this NPI record is Dr. Michael P Decarlo O.d. (President)
- NPI
- 1336351998
- Provider Legal Name
- MICHAEL P DE CARLO OPTOMETRIST INC
- Other Organization Name
- MICHAEL P. DECARLO OPTOMETRIST, INC.
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1428 N KRAEMER BLVD PLACENTIA, CA 92870
- Location Phone
- (714) 996-1136
- Location Fax
- (714) 996-0793
- Mailing Address
- 1428 N KRAEMER BLVD PLACENTIA, CA 92870
- Mailing Phone
- (714) 996-1136
- Mailing Fax
- (714) 996-0793
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-04-2007
- Last Update Date
- 03-03-2023
- Code Navigator
Location Map
Secondary Locations
- 5724 E 7th St
Long Beach, CA 90803
(562) 986-6373
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- License No.
- 9416TPG
- License State
- CA
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152WL0500X | Eye and Vision Services Providers | Optometrist | 9416T (CA) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
- Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
- Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
- Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
- BlueSelect Silver Standard without Kid's Dental - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| SD0094160 7 | MEDICAID (05) | CA |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1336351998, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336351998, enumerated as an "organization" on May 04, 2007.
The provider is located at 1428 N KRAEMER BLVD PLACENTIA, CA 92870 and the phone number is (714) 996-1136.
Eyewear Supplier with taxonomy code 332H00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.
