Organization
STAMFORD EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL V KALUSTIAN O.D. (PARTENER)
(203) 357-7181
Entity
Organization
Contact information
Practice address
30 6TH ST, STAMFORD, CT 06905-4610
(203) 357-7181
(203) 602-9986
Mailing address
30 6TH ST, STAMFORD, CT 06905-4610
(203) 357-7181
(203) 602-9986
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008039500
—
CT
Enumeration date
06/25/2007
Last updated
05/02/2012
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