| Dr Krystyn Kudla, OD | |
|
4646 John R St, Detroit, MI 48201-1916 | |
| (313) 576-1000 | |
| Not Available |
| Full Name | Dr Krystyn Kudla |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 4646 John R St, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164805099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901004896 (Michigan) | Primary |
| Provider Name | Lake Lazer Eye Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003951575 PECOS PAC ID: 2264535152 Enrollment ID: O20070314000217 |
| Provider Name | Clarity Advanced Eyecare Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639582919 PECOS PAC ID: 7416177894 Enrollment ID: O20141007001415 |
| Provider Name | Clarity Eye Contact Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386340180 PECOS PAC ID: 1052777067 Enrollment ID: O20230517002854 |
| Provider Name | Clarity Oakland Wl Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336845122 PECOS PAC ID: 5991161812 Enrollment ID: O20230519000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Krystyn Kudla, OD 35776 Harper Ave, Clinton Township, MI 48035-3212 Ph: (586) 792-3891 | Dr Krystyn Kudla, OD 4646 John R St, Detroit, MI 48201-1916 Ph: (313) 576-1000 |
Dr. Robert Fredrick Lee Iii, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 15157 Gratiot Ave, Detroit, MI 48205 Phone: 313-526-7664 Fax: 313-526-2055 | |
Dr. Sura Hassan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4717 St. Antoine, Kresge Eye Institute, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700 | |
Dr. Richard Edwin Gay, OD Optometrist Medicare: Medicare Enrolled Practice Location: 19173 Mack Ave, Detroit, MI 48230 Phone: 313-882-7883 Fax: 313-882-5128 | |
Heritage Optical Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2678 E Jefferson Ave, Detroit, MI 48207 Phone: 313-259-6006 | |
Dr. Linda Le, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1301 Orleans St Apt 1705, Detroit, MI 48207 Phone: 248-759-9202 | |
Wayne State University Physician Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4717 Saint Antoine St, Detroit, MI 48201 Phone: 313-577-8900 Fax: 313-577-0700 | |
Heritage Optical Center, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19010 Livernois Ave, Detroit, MI 48221 Phone: 313-863-9581 |