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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