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MICHAEL J KUTRYB MD PA
NPI 1902921737
Ophthalmology in Titusville, FL

Active since March 20, 2007CLIA 10D2146957 · Waiver
730 S WASHINGTON AVE, TITUSVILLE, FL 32780(321) 267-2020 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2025, Nov 29, 2022, May 21, 2020 (3 updates tracked since 2020).

About Michael J Kutryb Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL J KUTRYB MD PA (NPI 1902921737) is a healthcare organization registered as an ophthalmology in Titusville, Florida and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 9, 2028 and lists Michael J Kutryb, Physician, as its authorized official.

NPPES Registry Identity

NPI1902921737
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMICHAEL J KUTRYB MD PA
Location Address730 S WASHINGTON AVETitusville, FL 32780-4232
Mailing Address730 S Washington AveTitusville, FL 32780-4232 · (321) 267-2020 · Fax (321) 267-4165
Phone(321) 267-2020
Organization SubpartNo
Authorized OfficialMichael J KutrybPhysician · (321) 383-7888
Enumeration DateMarch 20, 2007
Last NPPES UpdateFebruary 3, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1902921737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME68787
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
730 S WASHINGTON AVE, Titusville, FL 32780
Open in Google Maps ↗

Other Identifiers 1

Other12051964FL · Date Of Birth

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2146957

Michael J Kutryb MD PA · Titusville, FL
Active · expires Apr 9, 2028
CLIA Number10D2146957
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorMichael J. Kutryb
Laboratory Phone(321) 267-2020
Laboratory LocationMichael J Kutryb MD PA730 S Washington Ave, Titusville, FL 32780
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Kutryb Eye Institute carries, from the Medicare DMEPOS supplier directory.

Kutryb Eye Institute

DMEPOS supplier · Titusville, FLOperated by Michael J Kutryb MD PA
✔

Accepts Medicare assignment

Kutryb Eye Institute agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20571569
Medicare Participant SinceNovember 21, 2006
Supplier Location730 S Washington AveTitusville, FL 32780
Phone(321) 267-2020
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRADLEY LEONE SHOSS MD
Ophthalmology
730 S WASHINGTON AVE
TITUSVILLE, FL 32780
Brevard County (321) 267-2020
EMILY ANNE ELLIOTT OD
Optometrist
730 S WASHINGTON AVE
TITUSVILLE, FL 32780
Brevard County (321) 267-2020
DR. MICHAEL KUTRYB M.D.
Ophthalmology
730 S WASHINGTON AVE
TITUSVILLE, FL 32780
Brevard County (210) 267-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael J Kutryb MD PA's NPI number?

The NPI number for Michael J Kutryb MD PA is 1902921737. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Michael J Kutryb MD PA located?

Michael J Kutryb MD PA is located at 730 S Washington Ave, Titusville, FL 32780. The listed phone number is (321) 267-2020.

What is Michael J Kutryb MD PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Michael J Kutryb MD PA accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kutryb Eye Institute accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Michael J Kutryb MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2146957) is associated with this NPI, valid through April 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michael J Kutryb MD PA accept?

Health plans from BlueCross BlueShield of Tennessee, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Wellpoint list Michael J Kutryb MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael J Kutryb MD PA was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.