Mark F. Kapusta O.d. | |
30851 Euclid Ave, Suite 4, Willoughby, OH 44094-3198 | |
(440) 944-5155 | |
(440) 943-9460 |
Full Name | Mark F. Kapusta O.d. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 30851 Euclid Ave, Willoughby, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114192044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3511T508 (Ohio) | Primary |
Provider Name | Ryan Owen Mckinnis |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134432230 PECOS PAC ID: 1658554472 Enrollment ID: I20110331000448 |
Provider Name | Jamie H Rosenberg |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689029795 PECOS PAC ID: 2769753094 Enrollment ID: I20170804002513 |
Mailing Address | Practice Location Address |
---|---|
Mark F. Kapusta O.d. 30851 Euclid Ave, Suite 4, Willoughby, OH 44094-3198 Ph: (440) 944-5155 | Mark F. Kapusta O.d. 30851 Euclid Ave, Suite 4, Willoughby, OH 44094-3198 Ph: (440) 944-5155 |
For Your Eyes Only, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5900 S.o.m Center Rd., Ste 19, Willoughby, OH 44094 Phone: 440-585-2020 Fax: 440-585-2044 | |
University Hospitals Medical Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4212 State Route 306, Willoughby, OH 44094 Phone: 216-286-6299 Fax: 216-286-6341 | |
Dr. Mark F Kapusta, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 30851 Euclid Ave, Suite 4, Willoughby, OH 44094 Phone: 440-944-5155 Fax: 440-943-9460 | |
Dr. Robert A Kriessler, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5900 Som Center Road, Suite 19, Willoughby, OH 44094 Phone: 440-585-2020 Fax: 440-585-2044 | |
For Your Eyes Only, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 5900 Som Center Rd Ste 19, Willoughby, OH 44094 Phone: 440-585-2020 | |
Alexander Junglas, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5900 Som Center Rd Ste 19, Willoughby, OH 44094 Phone: 440-585-2020 |