Desmon Paige Carl, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2004017484 Issued in MO

Practice address

1200 Winchester Dr
Sedalia, MO 65301-2467

Phone

(660) 826-2642

NPI assigned

Jun 15, 2005

Last updated

Apr 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Clinic LLCGroup PAC ID 6305985599, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

64.55 of 100Reported as individual

Quality

38.57

Promoting interoperability

90

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: descarl@theeyeclinic.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Clinic LLC

  • Optometrist
  • Sedalia, MO
  • NPI 1932330529
  Medicare reassignment Care Compare group NPD
• Eye Clinic LLC

  • Optometrist
  • Versailles, MO
  • NPI 1548591837
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1073518247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 BRANDON AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653016892",
            "telephone_number": "660-829-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WINCHESTER DR",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012467",
            "telephone_number": "660-826-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARL",
        "first_name": "DESMON",
        "middle_name": "PAIGE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2004017484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "318400314",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie E Cahill, MD
• Holly Cain
• Shawn William Cairer
• Aimee Marie Caldwell
• Andrew Campbell, LMSW
• Kevin Kyle Edward Carl, O.D.
• William E. Carlile, M.D.
• Beth Carlton, MOT, OTR/L
• Lynda G Carlyle, FNP
• Arielle Carnes

• Optometrist in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.