| Mark D Pophal, MD | |
|
29001 Cedar Rd Ste 110, Lyndhurst, OH 44124-4041 | |
| (216) 382-8022 | |
| (216) 382-7667 |
| Full Name | Mark D Pophal |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 37 Years |
| Location | 29001 Cedar Rd Ste 110, Lyndhurst, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407849516 | NPI | - | NPPES |
| 180028844 | Other | RAILROAD MEDICARE | |
| 1193810001 | Other | OH | DMERC MEDICARE |
| 34-1844400 | Other | OH | TAX ID# |
| 2027612 | Medicaid | OH | |
| H140671 | Other | OH | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 35-05-9490-P (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Ohio Medical Specialists, Llc | 2769386192 | 276 |
| Entity Name | Northern Ohio Medical Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225085855 PECOS PAC ID: 2769386192 Enrollment ID: O20031126000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark D Pophal, MD Po Box 378, Sandusky, OH 44871-0378 Ph: (419) 626-6161 | Mark D Pophal, MD 29001 Cedar Rd Ste 110, Lyndhurst, OH 44124-4041 Ph: (216) 382-8022 |
Kathleen M Zielinski, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 29001 Cedar Rd Ste 110, Lyndhurst, OH 44124 Phone: 216-382-8022 Fax: 216-382-7667 | |
Ronald Howard Krasney, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 29001 Cedar Rd Ste 110, Lyndhurst, OH 44124 Phone: 216-382-8022 Fax: 216-382-7667 | |
William E Bruner Ii, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 29001 Cedar Rd Ste 110, Lyndhurst, OH 44124 Phone: 216-382-8022 Fax: 216-382-7667 | |
Michael P Shaughnessy, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 29001 Cedar Rd Ste 110, Lyndhurst, OH 44124 Phone: 216-382-8022 Fax: 216-382-7667 | |
Dr. Igor E Estrovich, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 29001 Cedar Rd Ste 110, Lyndhurst, OH 44124 Phone: 216-382-8022 Fax: 216-382-7667 |