| Karl F Kutch, OD | |
|
1128 N Galloway Ave, Mesquite, TX 75149-7415 | |
| (972) 288-4427 | |
| (972) 285-4240 |
| Full Name | Karl F Kutch |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1128 N Galloway Ave, Mesquite, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295728806 | NPI | - | NPPES |
| 94169 | Other | UNITED HEALTH CARE | |
| 0930398-01 | Medicaid | TX | |
| 5767109 | Other | AETNA | |
| 2853823 | Other | TX | CIGNA |
| 8F20870 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TX2315TG (Texas) | Primary |
| Provider Name | Suzan Park, Od Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043838063 PECOS PAC ID: 9335565720 Enrollment ID: O20200817000645 |
| Mailing Address | Practice Location Address |
|---|---|
| Karl F Kutch, OD 1128 N Galloway Ave, Mesquite, TX 75149-7415 Ph: (972) 288-4427 | Karl F Kutch, OD 1128 N Galloway Ave, Mesquite, TX 75149-7415 Ph: (972) 288-4427 |
Eric Lee, O.d., P.l.l.c. Optometrist Medicare: Medicare Enrolled Practice Location: 6000 Town East Mall Ste 138-390, Mesquite, TX 75150 Phone: 972-979-1014 | |
Dr. Ronald K Smith, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 820 E Cartwright Rd, Ste 150, Mesquite, TX 75149 Phone: 972-288-2520 Fax: 972-288-2236 | |
Thomas M Dvorakpc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3434 Towne Crossing Blvd, Suite 112-b, Mesquite, TX 75150 Phone: 972-686-4738 Fax: 972-686-6490 | |
Dr. Hafsa Chaudhary, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 610 N Town East Blvd Ste 100, Mesquite, TX 75150 Phone: 972-279-2020 Fax: 972-279-2637 | |
Suzan Park, Od Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1128 N Galloway Ave, Mesquite, TX 75149 Phone: 972-288-4427 Fax: 972-285-4240 | |
Eyemax Family Vision Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1515 N Town East Blvd Ste 523, Mesquite, TX 75150 Phone: 972-638-8600 Fax: 972-372-0240 | |
Suzan Park, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1128 N Galloway Ave, Mesquite, TX 75149 Phone: 972-288-4427 |