Provider Demographics
NPI:1255475760
Name:DR ANDREW C KARTESZ AND ASSOC PC
Entity Type:Organization
Organization Name:DR ANDREW C KARTESZ AND ASSOC PC
Other - Org Name:KARTESZ FAMILY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:KARTESZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:540-562-3458
Mailing Address - Street 1:3260 ELECTRIC RD STE 505
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-6400
Mailing Address - Country:US
Mailing Address - Phone:540-562-3458
Mailing Address - Fax:540-380-8783
Practice Address - Street 1:3260 ELECTRIC RD STE 505
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-6400
Practice Address - Country:US
Practice Address - Phone:540-562-3458
Practice Address - Fax:540-380-8783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001287152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VADN4460OtherRAILROAD MEDICARE
VA9237721Medicaid
VA010297893Medicaid
VADN4460OtherRAILROAD MEDICARE
VA010297893Medicaid
VA4998120001Medicare NSC