Individual
DR. JOSEPHINE MANGONI KOSUNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1261 W ROYALTON RD, BROADVIEW HEIGHTS, OH 44147-2407
(440) 526-7070
Mailing address
1261 W ROYALTON RD, BROADVIEW HEIGHTS, OH 44147-2407
(440) 526-7070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5326
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000282518
ANTHEM BC/BS PROVIDER #
OH
01
—
000000503347
ANTHEM (NORTH OLMSTED)
OH
01
—
000000503349
ANTHEM (PARMA)
OH
01
—
200669
CIGNA (DRS KOSUNICK & SC)
OH
01
—
2006698
CIGNA HEALTH
OH
01
—
201924453027
CARESOURCE
OH
01
—
270701075006
MEDICAL MUTUAL (PARMA)
OH
05
—
2714585
—
OH
01
—
7346559
AETNA (WA JONES)
OH
01
—
R5326
SUMMA HEALTH
OH
Enumeration date
09/22/2005
Last updated
05/17/2023
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