Michael J Carboni, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S453TA283 Issued in AL

Practice address

7419 US Highway 431
Albertville, AL 35950-1167

Phone

(256) 878-0125

Fax

(256) 878-0898

NPI assigned

Nov 18, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

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

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

• Eyecare Associates, Inc.

  • Eyewear Supplier
  • Birmingham, AL
  • NPI 1710012877

  AL, Optometrist

  Medicare reassignment NPD
• Eyecare Associates, Inc.

  • Optometrist
  • Albertville, AL
  • NPI 1053466821
  NPD Authorized official
• Eyecare Associates, Inc.

  • Optometrist
  • Montgomery, AL
  • NPI 1871475038
  NPD

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1851373385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7419 US HIGHWAY 431",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501167",
            "telephone_number": "256-878-0125",
            "fax_number": "256-878-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7419 US HIGHWAY 431",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501167",
            "telephone_number": "256-878-0125",
            "fax_number": "256-878-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S453TA283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051506834",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGINIZATIONAL NPI",
            "identifier": "1053466821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Burgess
• Lisa Lissette Burroughs-Thumi, MD
• Gary Alan Calhoun, MD
• Erika N Campbell, OTR
• Conna Marie Canada, M.S., CCC-A
• Careplus Family Medical, LLC
• Daniel Carnley, SLP
• John E Carr, DMD
• Audrey Carson
• Pacey Mikaela Carson, PT, DPT

• All providers in Albertville, AL
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.