Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaygoshtasb Kavousi, OD

Individual provider Optometrist · NPI 1154486090

Kaygoshtasb Kavousi, OD is an Optometrist in Utica, New York. Practices as a sole proprietor. Licensed in California, Colorado, Hawaii and Iowa and 6 more.

Licensed in
CA, CO, HI, IA, ID, NY
In the registry since
2006
Specialties on file
10
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

Route 12 North Riverside Mall Pearle Vision
Utica, NY 13502 Not confirmed with CMS for 16 years — call before visiting
Phone: (315) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV007112-1 (NY)
Optometrist Taxonomy 152W00000X · Licence 0618001619 (VA)
Optometrist Taxonomy 152W00000X · Licence OET009046 (PA)
Optometrist Taxonomy 152W00000X · Licence 02380 (IA)
Optometrist Taxonomy 152W00000X · Licence 2566 (CO)
Optometrist Taxonomy 152W00000X · Licence ODP-100127 (ID)
Optometrist Taxonomy 152W00000X · Licence 63558749934 (UT)
Optometrist Taxonomy 152W00000X · Licence OD-619 (HI)
Optometrist Taxonomy 152W00000X · Licence OD00003937 (WA)
Optometrist Taxonomy 152W00000X · Licence OPT12719-TPA (CA)

Record details

NPI number1154486090
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedDecember 22, 2006
Last updated in NPPESDecember 11, 2009

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