Kalustian, Michael V

Kalustian, Michael V is an individual health care provider with primary practice located at 30 6Th St , Stamford CT 06905-4610. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kalustian, Michael V can be contacted via phone (203) 357-7181.

Contact Information

Primary practice address
30 6Th St Stamford CT 06905-4610
Fax: (203) 357-0632
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002585 Connecticut

Profile Details

NPI number 1003991100
LBN Legal business name Kalustian, Michael V
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Mar 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003991100 NPPES
Connecticut MEDICAID 004223020

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