Kaygoshtasb Kavousi, OD

NPI #1154486090 in Utica, New York

Provider Information

NPI Number: 1154486090
Entity Type: Individual
Name: Kaygoshtasb Kavousi, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 22, 2006
Last Updated: Dec 11, 2009

Practice Location

Address: ROUTE 12 NORTH
Address 2: RIVERSIDE MALL, PEARLE VISION
City: Utica
State: New York
ZIP Code: 13502
Phone: (315) 000-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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