Isis Kaldas, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8964T Issued in TX

Practice address

903 William D Fitch Pkwy
College Station, TX 77845-4638

Phone

(979) 779-9000

Fax

(210) 855-8365

NPI assigned

Jun 20, 2016

Last updated

Aug 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1528418605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 WILLIAM D FITCH PKWY",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454638",
            "telephone_number": "979-779-9000",
            "fax_number": "210-855-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 WILLIAM D FITCH PKWY",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454638",
            "telephone_number": "979-779-9000",
            "fax_number": "210-855-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALDAS",
        "first_name": "ISIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC005342",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8964T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roeshelle Jordan
• Manuel C. Jose, M.D.
• Eustace Joseph, MD
• Judith S. Mullen, D.C., P.C.
• Jana Crook Junek, OTR, CHT
• Lawrence Edward Kalke, DMD
• Amanda Kallstrom-Fuqua, PH.D.
• Amanda Kapchinski, LPC
• Karl Kapchinski, LAT ATC
• Linda J Kapusniak, M.S., R.D., L.D.

• Optometrist in College Station, TX
• Providers in College Station, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.