Provider Demographics
NPI:1528418605
Name:KALDAS, ISIS (OD)
Entity Type:Individual
Prefix:DR
First Name:ISIS
Middle Name:
Last Name:KALDAS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 WILLIAM D FITCH PKWY
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-4638
Mailing Address - Country:US
Mailing Address - Phone:979-779-9000
Mailing Address - Fax:210-855-8365
Practice Address - Street 1:903 WILLIAM D FITCH PKWY
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-4638
Practice Address - Country:US
Practice Address - Phone:979-779-9000
Practice Address - Fax:210-855-8365
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC005342152W00000X
390200000X
TX8964T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program