Mark F. Kapusta O.D. INC
Optometrist in Willoughby, OH. Organization (NPI-2).
NPI number1114192044
StatusActive
Last updated in NPPESApr 22, 2008
Details
- NPI
- 1114192044
- Entity type
- Organization (NPI-2)
- Legal business name
- Mark F. Kapusta O.D. INC
- Organization subpart
- No
- Enumeration date
- Apr 22, 2008
- Last updated
- Apr 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3511T508 | OH | Yes |
Other names
- Mark F. Kapusta O.D. (Other Name)
Practice location
30851 Euclid AveSuite 4
Willoughby, OH 44094-3198
Phone 440-944-5155 · Fax 440-943-9460
Mailing address
30851 Euclid AveSuite 4
Willoughby, OH 44094-3198
Phone 440-944-5155 · Fax 440-943-9460
Authorized official
Nicole Renae McCallion
Medical Secretary
4409445155
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Other Optometrist providers in Willoughby, OH
- For Your Eyes Only, INCNPI 1750565008
- For Your Eyes Only, INC.NPI 1003488180
- Alexander Junglas, ODNPI 1770157448
- Mark F Kapusta, ODNPI 1558438580
- Robert A Kriessler, ODNPI 1619910700
- Scott C Kriessler, O.D.NPI 1902854136
- Vance & Teknipp Eye Care, LLCNPI 1881048478
All 8 Optometrist providers in Willoughby · All 1,404 providers in Willoughby
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