Organization
MARK F. KAPUSTA O.D. INC
Active
Organization
MARK F. KAPUSTA O.D. INC
Active
Other names
Mark F. Kapusta O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE RENAE MCCALLION (MEDICAL SECRETARY)
(440) 944-5155
Entity
Organization
Contact information
Practice address
30851 EUCLID AVE, SUITE 4, WILLOUGHBY, OH 44094-3198
(440) 944-5155
(440) 943-9460
Mailing address
30851 EUCLID AVE, SUITE 4, WILLOUGHBY, OH 44094-3198
(440) 944-5155
(440) 943-9460
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3511T508
OH
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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