Michael V Kalustian, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

002585 Issued in CT

Practice address

30 6TH St
Stamford, CT 06905-4610

Phone

(203) 357-7181

Fax

(203) 357-0632

NPI assigned

Oct 26, 2006

Last updated

Mar 28, 2012By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Southern Connecticut Eye Care PC

  dba New England Eye Care

  • Optometrist
  • Norwalk, CT
  • NPI 1851661458
  Medicare reassignment Authorized official
• Stamford Eye Care PC

  • Optometrist
  • Stamford, CT
  • NPI 1235335449
  Medicare reassignment Authorized official
• Sunnyside Optometry P.C.

  • Optometrist
  • Sunnyside, NY
  • NPI 1174830988
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1003991100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 6TH ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054610",
            "telephone_number": "203-357-7181",
            "fax_number": "203-357-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 6TH ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054610",
            "telephone_number": "203-357-7181",
            "fax_number": "203-357-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALUSTIAN",
        "first_name": "MICHAEL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004223020",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Kagan
• Aimee Meyer Kahn, M.D. , M.P.H.
• Nadia Kalinina
• Richard Loren Kalmans, D.D.S.
• Chinenye H Kalu, APRN
• Kamel H Ghandour M.D., LLC
• Shehzeen Kamil, MD
• Kamilia Dental LLC
• Shubham Kanake, MD
• Rebekah Kanefsky, LPC

• 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 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.