Southern Connecticut Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SOUTHERN CONNECTICUT EYE CARE PC

Practice address

280 Connecticut Ave
Norwalk, CT 06854-1915

Phone

(203) 866-5227

Fax

(203) 854-9862

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Michael Varujan Kalustian, O.D.NPI 1003991100

Title

President

Phone

(203) 866-5227

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NEW ENGLAND EYE CARE Doing business as

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
  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": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1851661458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CONNECTICUT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541915",
            "telephone_number": "203-866-5227",
            "fax_number": "203-854-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 CONNECTICUT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541915",
            "telephone_number": "203-866-5227",
            "fax_number": "203-854-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CONNECTICUT EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "KALUSTIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "VARUJAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-866-5227",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008036850",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW ENGLAND EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amit Sood, D.M.D, M.D
• Cristian Soto Jacome, MD
• Ariana Sottile
• Soundview Medical Associates, LLC.
• Anne Delancey Southall, PA-C
• Daniel O Southern, MD
• John Christopher Sova, D.C.
• Sovereign Home Health of Connecticut LLC
• Jennifer Lee Spaide, MS
• Rhett Sparkman, PHARMD

• Optometrist in Norwalk, CT
• Providers in Norwalk, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.