Individual provider Active NPI

Carl T Cefalu, OD

  • Optometrist
  • Uniontown, OH
National Provider Identifier
1851371439
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3851 Issued in OH
Practice address
1790 Town Park Blvd
Suite D
Uniontown, OH 44685-7972
Phone
(330) 896-3937
Fax
(330) 896-2926
NPI assigned
Jan 19, 2006
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 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 3851 OH Primary

Addresses

Primary practice location

1790 Town Park Blvd
Suite D
Uniontown, OH 44685-7972

Mailing address

PO Box 207170 Suite D
Dallas, TX 75320-0001
Phone (636) 200-4393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20111219000379 OH Practitioner - Optometry 5092898601 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Midwest Inc Optometrist CurrentSince Jun 8, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carlcefalu@direct.eyecare-partners.com

Organizations & group practices 3

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1851371439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207170 SUITE D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753200001",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 TOWN PARK BLVD",
            "address_2": "SUITE D",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857972",
            "telephone_number": "330-896-3937",
            "fax_number": "330-896-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEFALU",
        "first_name": "CARL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.