Healthcare Provider Details

I. General information

NPI: 1184363525
Provider Name (Legal Business Name): KUZO EYE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 08/16/2022
Certification Date: 08/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 WHITEFORD RD STE 6
YORK PA
17402-7625
US

IV. Provider business mailing address

2820 WHITEFORD RD STE 6
YORK PA
17402-7625
US

V. Phone/Fax

Practice location:
  • Phone: 717-470-0650
  • Fax: 717-470-0655
Mailing address:
  • Phone: 717-470-0650
  • Fax: 717-470-0655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. MELISSA MARIE KUZO
Title or Position: OPTOMETRIST
Credential: OD
Phone: 717-470-0650