DR. CARL T CEFALU OD
NPI 1851371439
Optometrist in Uniontown, OH

Q: What is Carl Cefalu's NPI number?

The NPI number for Carl Cefalu is 1851371439. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Carl Cefalu's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Cefalu was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 19, 2006PECOS Enrolled

1790 TOWN PARK BLVD, SUITE D, UNIONTOWN, OH 44685(330) 896-3937(330) 896-2926 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Carl T Cefalu Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARL T CEFALU OD (NPI 1851371439) is an individual optometrist in Uniontown, Ohio, licensed in Ohio (3851) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851371439

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. CARL T CEFALUCredential: OD

Location Address1790 TOWN PARK BLVD, SUITE DUniontown, OH 44685-7972

Mailing AddressPo Box 207170 Suite DDallas, TX 75320-0001 · (636) 200-4393 · Fax (636) 527-0766

Phone(330) 896-3937

Fax(330) 896-2926

Sole ProprietorYes

Enumeration DateJanuary 19, 2006

Last NPPES UpdateJune 8, 2021

NPPES CertifiedJune 8, 2021

✔ NPI 1851371439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OH · 3851

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1790 TOWN PARK BLVD, Uniontown, OH 44685

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carl T Cefalu Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carl Cefalu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clarkson Optometry Midwest Inc

Same address

Optometrist

1790 TOWN PARK BLVD STE D
Uniontown, OH 44685

Reassigned Medicare billing, Ohio enrollment
114 clinicians in this Medicare group

NPI 1154901015 (330) 896-3937

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44685 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BATTAGLIA CHIROPRACTIC LLC

Chiropractor (Rehabilitation)

1790 TOWN PARK BLVD, SUITE F
UNIONTOWN, OH 44685

Stark County (330) 899-8380

BRIAN N TINDALL PHD

Counselor (Professional)

1790 TOWN PARK BLVD, C
UNIONTOWN, OH 44685

Stark County (330) 896-0856

THE GREEN MEDICAL CENTER

Family Medicine

1790 TOWN PARK BLVD, SUITE D
UNIONTOWN, OH 44685

Stark County (330) 563-4424

DR. MARGARET ANN OESCHGER PHD

Psychologist (Clinical)

1790 TOWN PARK BLVD, SUITE C
UNIONTOWN, OH 44685

Stark County (330) 896-0856

DR. JENNIFER MORGAN PSYD

Psychologist (Clinical)

1790 TOWN PARK BLVD, SUITE C
UNIONTOWN, OH 44685

Stark County (330) 575-7096

BRYAN M. SCOTT DDS

Dentist (Oral and Maxillofacial Surgery)

1790 TOWN PARK BLVD
UNIONTOWN, OH 44685

Stark County (330) 899-9001

CNS CENTER FOR NEURO AND SPINE INC

Specialist

1790 TOWN PARK BLVD, SUITE F
UNIONTOWN, OH 44685

Stark County (330) 899-9863

DR. JOHN F OLIVETI MD

Specialist

1790 TOWN PARK BLVD, STE I
UNIONTOWN, OH 44685

Stark County (330) 899-0300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Cefalu's NPI number?

The NPI number for Carl Cefalu is 1851371439. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Carl Cefalu located?

Carl Cefalu practices at 1790 Town Park Blvd Suite D, Uniontown, OH 44685. The listed phone number is (330) 896-3937.

What is Carl Cefalu's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Carl Cefalu enrolled in Medicare?

Yes. Carl Cefalu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carl Cefalu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Cefalu reassigns Medicare benefits to Clarkson Optometry Midwest Inc (Uniontown, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Cefalu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Cefalu accept?

Health plans from CareSource list Carl Cefalu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carl Cefalu was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.