Provider Demographics
NPI:1477639516
Name:VISION CONSULTANTS
Entity Type:Organization
Organization Name:VISION CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:CASTALDI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:203-324-1606
Mailing Address - Street 1:1 BANK ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-3006
Mailing Address - Country:US
Mailing Address - Phone:203-324-1606
Mailing Address - Fax:203-324-4357
Practice Address - Street 1:1 BANK ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-3006
Practice Address - Country:US
Practice Address - Phone:203-324-1606
Practice Address - Fax:203-324-4357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004222163Medicaid
CT004222163Medicaid