| Organization Name: | SUNNYSIDE OPTOMETRY P.C. |
| NPI Number: | 1174830988 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL VARUJAN KALUSTIAN (PRESIDENT) |
| Mailing Address: | 4701 Queens Blvd Suite Number 303 Sunnyside |
| State: | NY US |
| Postal Code: | 111041600 |
| Phone Number: | 5168016323 |
| Fax Number: | 8883147302 |
| NPI Enumeration Date: | 09/01/2010 |
| NPI Last Update Date: | 04/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | T006238 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |