Dr. Anthony Kostallas is a Huntington Park, California based male Optometrist with 46 years of experience in Optometry. He completed his graduation from Southern California College Of Optometry in 1978. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Anthony Kostallas is 6482T for Optometry - Corneal and Contact Management in California. Dr. Anthony Kostallas examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Anthony Kostallas speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
46+ years
Medical School Attended:
Southern California College Of Optometry
Graduation Year:
1978
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
6325 Pacific Blvd, Ste. 104, Huntington Park, California, 90255-4100
Phone:
323-581-4466
Fax:
323-587-8650
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9335306125
Enrollment ID:
I20120207000128
NPI Number:
1588641898
NPI Enumeration Date:
28 Dec, 2005
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Anthony Kostallas are as mentioned below.
License Number
Specialization
State
Status
6482T
Optometry - Corneal and Contact Management
California
Primary
6482T
Optometry
California
Secondary
6482T
Optometry - Corneal and Contact Management
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Anthony Kostallas such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
SD0064820
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6325 Pacific Blvd, Ste. 104 Huntington Park, California
Zip:
90255-4100
Phone Number:
323-581-4466
Fax Number:
323-587-8650
Patients can reach Dr. Anthony Kostallas at 6325 Pacific Blvd, Ste. 104, Huntington Park, California or can call to book an appointment on 323-581-4466. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.