Dr Carl S Kukielka, OD - Optometrist in Columbia, MD

Dr Carl S Kukielka, OD is a Optometrist based in Columbia, Maryland. Dr Carl S Kukielka is licensed to practice in Maryland (license number TA0752) and his current practice location is 10025 Governor Warfield Pkwy, Suite 103, Columbia, Maryland. He can be reached at his office (for appointments etc.) via phone at (410) 772-5412.

NPI number for Dr Carl S Kukielka is 1235251513 and his current mailing address is 707 S President St, Apt 634, Baltimore, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235251513.

Contact Information

Dr Carl S Kukielka, OD
10025 Governor Warfield Pkwy, Suite 103,
Columbia, MD 21044-3340
(410) 772-5412
(410) 828-2018



Healthcare Provider's Profile

Full NameDr Carl S Kukielka
GenderMale
SpecialityOptometrist
Location10025 Governor Warfield Pkwy, Columbia, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235251513
  • Provider Enumeration Date: 04/06/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Carl S Kukielka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235251513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist TA0752 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carl S Kukielka is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Carl S Kukielka, OD
707 S President St, Apt 634,
Baltimore, MD 21202-4474

Ph: (410) 772-5412
Dr Carl S Kukielka, OD
10025 Governor Warfield Pkwy, Suite 103,
Columbia, MD 21044-3340

Ph: (410) 772-5412

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