NPI 1003991100

Michael V Kalustian, OD

Practitioner Optometrist Stamford, CT

Practice location

Address: 30 6th St, Stamford, CT 06905-4610
Phone: (203) 357-7181
Fax: (203) 357-0632

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 002585 (CT)

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Registry record

NPI: 1003991100
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2006
Record last updated: 28 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.