Provider Demographics
NPI:1073869202
Name:KARTESZ FAMILY EYE CARE INC
Entity Type:Organization
Organization Name:KARTESZ FAMILY EYE CARE INC
Other - Org Name:ROCKY MOUNT FAMILY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:C
Authorized Official - Last Name:KARTESZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:540-483-5256
Mailing Address - Street 1:365 TANYARD RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:VA
Mailing Address - Zip Code:24151-1531
Mailing Address - Country:US
Mailing Address - Phone:540-483-5256
Mailing Address - Fax:540-483-7050
Practice Address - Street 1:365 TANYARD RD
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:VA
Practice Address - Zip Code:24151-1531
Practice Address - Country:US
Practice Address - Phone:540-483-5256
Practice Address - Fax:540-483-7050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-25
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VADT6764OtherRAILROAD MEDICARE
VAB710Medicare PIN
VADT6764OtherRAILROAD MEDICARE