Provider Demographics
NPI:1801836598
Name:CARTY EYE ASSOCIATES, LTD.
Entity Type:Organization
Organization Name:CARTY EYE ASSOCIATES, LTD.
Other - Org Name:OPTOMETRIC DIVISION CARTY EYE ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:CARTY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:6105-270-1990
Mailing Address - Street 1:830 OLD LANCASTER ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010
Mailing Address - Country:US
Mailing Address - Phone:610-527-0990
Mailing Address - Fax:610-527-7921
Practice Address - Street 1:830 OLD LANCASTER ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010
Practice Address - Country:US
Practice Address - Phone:610-527-0990
Practice Address - Fax:610-527-7921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1147618Medicaid
PA0823830001Medicare NSC
PA084864Medicare PIN