Mark F Kapusta in Willoughby - Optometrist

Mark F Kapusta - NPI 1558438580

Mark F Kapusta is a Optometrist in Willoughby, Ohio. Mark F Kapusta practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mark F Kapusta is 1558438580. The last update date is 2012-12-06.

Mark F Kapusta's current location address is 30851 Euclid Ave, Willoughby, Ohio. You can contact this provider via phone number 4409445155 and fax number 4409439460. The mailing address for Mark F Kapusta is 30851 Euclid Ave, Willoughby, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark F Kapusta
Address 30851 Euclid Ave, Willoughby, Ohio
Phone Number 4409445155
Fax Number 4409439460
Sole Proprietor Y
Credentials OD

NPI Number Detail

NPI Number 1558438580
Provider Enumeration Date 2006-11-28
Last Updated Date 2012-12-06

Provider Mailing Address Detail

Address 30851 Euclid Ave
City Willoughby
State Ohio (OH)
Post Code 44094
Phone Number 4409445155
Fax Number 4409439460

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 3511T508
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
474259 OH --

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FAQs about Mark F Kapusta

What is the unique 10-digit identifier code assigned to Mark F Kapusta by the Centers for Medicare & Medicaid Services?

The Mark F Kapusta has been issued the NPI (National Provider Identifier) 1558438580 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Mark F Kapusta is geographically located?

The Mark F Kapusta is physically situated at the following location: 30851 Euclid Ave, Willoughby, OH, 44094.

What is Mark F Kapusta's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mark F Kapusta is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1558438580 to Mark F Kapusta?

The Centers for Medicare & Medicaid Services assigned the 1558438580 to Mark F Kapusta on 2006-11-28.

As of what date was the information regarding Mark F Kapusta, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mark F Kapusta, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-12-06.

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