JOHN DOMINIC DECARLO (NPI# 1346204757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346204757 |
| Entity Type | Individual |
| Full Name | JOHN DOMINIC DECARLO |
| Credential | M.D. |
| Practice Address |
2500 N Mayfair Rd Suite 340 Wauwatosa WI 53226-1409 |
| Practice Telephone | 4144765120 |
| Practice Fax Number | 4144765181 |
| Mailing Telephone | 4144765120 |
| Mailing Fax Number | 4144765181 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 21652-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30261600 | 05 | |
| WI | BLUE CROSS BLUE SHIELD | 391382883015 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164585956 | John Michael Decarlo | Dentist | 79 Giffords Ln, Staten Island, NY 10308-2411 | 2006-12-19 |
| 1861599102 | John P Decarlo | Optometrist | 526 Newfield Ave, Stamford, CT 06905-3746 | 2006-09-20 |
| 1467416081 | John Decarlo | Occupational Therapist | 3801 University Lake Dr, Anchorage, AK 99508-4639 | 2006-04-12 |
| Street Address |
2500 N MAYFAIR RD SUITE 340 |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770068884 | John Thomas Meek | Optometrist | 2500 N Mayfair Rd, Wauwatosa, WI 53226-1409 | 2018-09-25 |
| 1124526934 | Jacquelyn P Petropoulos | Physical Therapy Assistant | 2500 N Mayfair Rd, Wauwatosa, WI 53226-1409 | 2018-01-26 |
| 1750804795 | T'sani Watson | Optometrist | 2500 N Mayfair Rd, Wauwatosa, WI 53226-1409 | 2017-07-21 |
| 1356881312 | Lauren Gryniewicz | Physical Therapist | 2500 N Mayfair Rd, Suite 550, Wauwatosa, WI 53226-1409 | 2017-02-24 |
| 1497138341 | William Colin Smith | Optometrist | 2500 N Mayfair Rd, Wauwatosa, WI 53226-1409 | 2015-07-09 |
| 1598199523 | Wesley M Ladwig | Physician Assistant | 2500 N Mayfair Rd, Suite #500, Wauwatosa, WI 53226-1409 | 2013-08-27 |
| 1831476373 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 2500 N Mayfair Rd, Wauwatosa, WI 53226-1409 | 2011-11-11 |
| 1831423045 | Michael J. Kuhn, Jr., M.d., S.c. | Obstetrics & Gynecology | 2500 N Mayfair Rd, 330, Wauwatosa, WI 53226-1409 | 2009-09-22 |
| 1437310596 | Mary Elizabeth Burnett | Allergy & Immunology | 2500 N Mayfair Rd, Suite 220, Wauwatosa, WI 53226-1415 | 2008-06-21 |
| 1659560480 | Steck Eye Care LLC | Optometrist | 2500 N Mayfair Rd, Wauwatosa, WI 53226-1409 | 2007-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350375 | Summit Eye Care of Wisconsin Sc | Ophthalmology | 10425 W North Ave Ste 245, Wauwatosa, WI 53226-2416 | 2019-08-02 |
| 1124065537 | John A Vukich | Ophthalmology | 10425 W North Ave Ste 140, Wauwatosa, WI 53226-2400 | 2006-06-02 |
| 1710975271 | Thomas J Cesarz | Ophthalmology | 2300 N Mayfair Rd, #1155, Wauwatosa, WI 53226-1505 | 2005-10-10 |
| 1801884358 | Kamal F Nassif | Ophthalmology | 10625 W North Ave Ste 200, Wauwatosa, WI 53226-2315 | 2005-10-10 |
| 1699744573 | Suson Eye Specialists, Md Sc | Ophthalmology | 2300 N Mayfair Rd, Suite 1101, Wauwatosa, WI 53226-1505 | 2006-03-14 |
| 1881677284 | Dr K F Nassif & Assoc Sc | Ophthalmology | 10625 W North Ave Ste 200, Wauwatosa, WI 53226-2315 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093308 | Eye Physicians and Surgeons Sc | Ophthalmology | 675 W State Street, Burlington, WI 53105-2152 | 2020-05-05 |
| 1912566597 | William Alden Blank | Ophthalmology | W5843 Vista Dr, La Crosse, WI 54601-7120 | 2019-06-07 |
| 1962974485 | Southwest Health Center, Inc. | Ophthalmology | 1509 Ihm St, Lancaster, WI 53813-9458 | 2018-12-21 |
| 1477083194 | Maxwell Joseph Wingelaar | Ophthalmology | Uw Health University Hospital, Madison, WI 53792 | 2017-06-14 |
| 1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
| 1114315587 | Eye Clinic of Wisconsin, Sc | Ophthalmology | 841 Goodnow Ave, Suite 103, Wisconsin Rapids, WI 54494-0315 | 2015-01-07 |
| 1164824231 | Arthur Francis Garcia | Ophthalmology | 7025 Cedar Creek Rd, Cedarburg, WI 53012-9778 | 2014-09-20 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1003233255 | Kenneth Weinlander | Ophthalmology | 740 N Plankinton Ave Ste 836, Milwaukee, WI 53203-2403 | 2014-03-26 |
| 1447696539 | Neda Esmaili Md Sc | Ophthalmology | 377 West Riverwoods Parkway, Suite 115, Glendale, WI 53212 | 2013-05-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.