NPI 1346204757 · live from the CMS NPI Registry
John Dominic Decarlo, M.D.
Ophthalmology in Brookfield, WI. National Provider Identifier 1346204757, active.
NPI record
| NPI | 1346204757 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 16650 W Bluemound Rd # 400b, Brookfield, WI 53005 |
| Practice phone | 414-476-5120 |
| Enumerated | April 13, 2006 |
| Last updated | February 19, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 21652-020 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.