Provider Demographics
NPI:1447378708
Name:CALORAS, STEVEN CRAIG (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CRAIG
Last Name:CALORAS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 S AMUNDSEN LN
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10901-7536
Mailing Address - Country:US
Mailing Address - Phone:845-368-0180
Mailing Address - Fax:845-368-0180
Practice Address - Street 1:463 PASSAIC ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1518
Practice Address - Country:US
Practice Address - Phone:201-342-3116
Practice Address - Fax:201-342-3117
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00480700152W00000X
NYTO4837-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1124650OtherAETNA
NJNJ4807OtherEYEMED
NJ3778007OtherCIGNA
NJ4374885OtherAETNA