Dr. Michael V Kalustian
Optometrist
30 6th St
Stamford
, Connecticut 06905-4610
Dr. Michael V Kalustian
Optometrist
30 6th St
Stamford
, Connecticut 06905-4610
(203) 357-0632
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Michael V Kalustian
- 30 6th St
- Stamford, CT
- Zip : 06905-4610
- Fax : (203) 357-0632
- Phone : (203) 357-7181
Second Address
- Dr. Michael V Kalustian
- 30 6th St
- Stamford, CT
- Zip : 06905-4610
- Fax : (203) 357-0632
- Phone : (203) 357-7181
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Is Dr. Michael V Kalustian a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002585 | CT |
National Provider Identifier
| NPI | 1003991100 |
|---|---|
| Provider Name | Dr. Michael V Kalustian |
| First Address | Stamford, CT 06905-4610 |
| Second Address | Stamford, CT 06905-4610 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 28/03/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 004223020 | (05) | CT |
| U82791 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.