| NPI | 1174830988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VARUJAN KALUSTIAN President 516-801-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY T006238) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY T006238) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NY T006238) | |
| 152WP0200X Optometrist, Pediatrics (Licence: NY T006238) | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2011-04-21 |