| NPI | 1336351998 |
|---|---|
| Doing Business As | MICHAEL P. DECARLO OPTOMETRIST, INC. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL P DECARLO President 562-881-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA 9416TPG) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: CA 9416T) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2023-03-03 |