Organization
KARL F. KUTCH, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL F KUTCH O.D. (OWNER)
(972) 288-4427
Entity
Organization
Contact information
Practice address
1128 N GALLOWAY AVE, MESQUITE, TX 75149-7415
(972) 288-4427
Mailing address
1128 N GALLOWAY AVE, MESQUITE, TX 75149-7415
(972) 288-4427
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E06J
BLUE CROSS BLUE SHIELD
TX
05
—
0930398-01
—
TX
01
—
94169
UNITED HEALTH CARE
TX
Enumeration date
01/20/2009
Last updated
04/13/2010
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