Mark F. Kapusta O.d. INC

NPI #1114192044 in Willoughby, Ohio

Provider Information

NPI Number: 1114192044
Entity Type: Organization
Organization Name: Mark F. Kapusta O.d. INC
Primary Specialty: Optometrist
Enumeration Date: Apr 22, 2008
Last Updated: Apr 22, 2008

Practice Location

Address: 30851 EUCLID AVE
Address 2: SUITE 4
City: Willoughby
State: Ohio
ZIP Code: 44094-3198
Phone: (440) 944-5155

Authorized Official

Name: MRS. NICOLE RENAE MCCALLION
Title: MEDICAL SECRETARY
Phone: (440) 944-5155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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