| Mark F. Kapusta O.d. Inc | |
|
30851 Euclid Ave, Suite 4, Willoughby, OH 44094-3198 | |
| (440) 944-5155 | |
| (440) 943-9460 |
| Full Name | Mark F. Kapusta O.d. Inc |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134432230 PECOS PAC ID: 1658554472 Enrollment ID: I20110331000448 |
| Provider Name | Jamie H Rosenberg |
|---|---|
| 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. Inc 30851 Euclid Ave, Suite 4, Willoughby, OH 44094-3198 Ph: (440) 944-5155 | Mark F. Kapusta O.d. Inc 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 | |
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 | |
Vance & Teknipp Eye Care, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 34302 Euclid Ave, Unit 3, Willoughby, OH 44094 Phone: 440-942-3677 Fax: 440-942-7857 |