Individual
DR. JOHN P DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
526 NEWFIELD AVE, STAMFORD, CT 06905-3746
(203) 327-1511
(203) 325-4479
Mailing address
526 NEWFIELD AVE, STAMFORD, CT 06905-3746
(203) 327-1511
(203) 325-4479
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000704
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090000704CT01
ANTHEM
CT
01
—
124217
UNITED HEALTHCARE
CT
Enumeration date
09/20/2006
Last updated
03/18/2014
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