John P Decarlo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

000704 Issued in CT

Practice address

526 Newfield Ave
Stamford, CT 06905-3746

Phone

(203) 327-1511

Fax

(203) 325-4479

NPI assigned

Sep 20, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Stamford Vision Care.LLC

  • Optometrist
  • Stamford, CT
  • NPI 1821261801
  Authorized official Same address or phone

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1861599102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 NEWFIELD AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069053746",
            "telephone_number": "203-327-1511",
            "fax_number": "203-325-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 NEWFIELD AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069053746",
            "telephone_number": "203-327-1511",
            "fax_number": "203-325-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARLO",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "000704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "090000704CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "124217",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia H Dayan, LCSW
• DC Rides LLC
• Corinne E De Cholnoky, M.D.
• Maria De Vivo, PA-C
• Debra Adler-Klein MD LLC
• Lindsay Gayle Decima
• Elizabeth Deda
• Joseph Defilippo Jr., DDS
• Ravin Defonseka, MD
• Marissa Defreese, MD

• Optometrist in Stamford, CT
• Providers in Stamford, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.