Stamford Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

STAMFORD EYE CARE PC

Practice address

30 6TH St
Stamford, CT 06905-4610

Phone

(203) 357-7181

Fax

(203) 602-9986

NPI assigned

Jun 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael V Kalustian, O.D.NPI 1003991100

Title

Partener

Phone

(203) 357-7181

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael V Kalustian, OD

  • Optometrist
  • Stamford, CT
  • NPI 1003991100

  CT

  Medicare reassignment Authorized official
• David Michael Kraus, O.D.

  • Optometrist
  • North Haven, CT
  • NPI 1982707238
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1235335449",
    "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": "203-602-9986"
        },
        {
            "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": "203-602-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMFORD EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "KALUSTIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PARTENER",
        "authorized_official_telephone_number": "203-357-7181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008039500",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Stamford, CT
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.