Individual provider Active NPI

Celeste Baker Dicarlo, OD

  • Optometrist
  • Denham Springs, LA
National Provider Identifier
1336660265
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1850-784AT Issued in LA
Practice address
1330 S Range Ave
Denham Springs, LA 70726
Phone
(225) 664-2189
NPI assigned
Jun 30, 2017
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1850-784AT LA Primary

Addresses

Primary practice location

1330 S Range Ave
Denham Springs, LA 70726

Mailing address

1330 S Range Ave
Denham Springs, LA 70726-4810

Other practice location 1

3850 N Causeway Blvd Ste 106
Metairie, LA 70002-7254
Phone (504) 518-7992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20180109000850 LA Practitioner - Optometry 7911266440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Eye CareGroup PAC ID 6204889660, 4 clinicians

Practice addresses (Care Compare)

1330 S Range Ave
Denham Springs, LA 70726-4810
Phone (225) 664-2189

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1850-784ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Eye Care Optometrist CurrentSince Jul 1, 2018 Accepting new patients

Locations

1330 S Range Ave
Denham Springs, LA 70726
Phone (225) 664-2189

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1336660265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 S RANGE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 S RANGE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "70726",
            "telephone_number": "225-664-2189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 N Causeway Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700027254",
            "country_code": "US",
            "telephone_number": "504-518-7992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICARLO",
        "first_name": "CELESTE",
        "middle_name": "BAKER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1850-784AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

Verify at the official NPI Registry.