Kornaus, Mark A

Kornaus, Mark A is an individual health care provider with primary practice located at 1821 S Stoughton Rd , Madison WI 53716-2257. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kornaus, Mark A can be contacted via phone (608) 260-6000.

Contact Information

Primary practice address
1821 S Stoughton Rd Madison WI 53716-2257
Fax: (608) 260-6716
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2011-035 Wisconsin

Profile Details

NPI number 1215993530
LBN Legal business name Kornaus, Mark A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Dec 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215993530 NPPES
Wisconsin MEDICAID 1215993530

Popular Providers