Provider Demographics
NPI:1407335557
Name:KESZEI VISION CARE, PLC
Entity Type:Organization
Organization Name:KESZEI VISION CARE, PLC
Other - Org Name:KESZEI VISION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:KESZEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-459-8900
Mailing Address - Street 1:3050 OLD CENTRE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-4882
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3050 OLD CENTRE RD STE 102
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49024-4882
Practice Address - Country:US
Practice Address - Phone:269-459-8900
Practice Address - Fax:269-888-2494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-09
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty