Provider Demographics
NPI:1831314616
Name:CARTY EYE ASSOCIATES, LTD.
Entity Type:Organization
Organization Name:CARTY EYE ASSOCIATES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
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:610-527-0990
Mailing Address - Street 1:3500 W CHESTER PIKE
Mailing Address - Street 2:DUNWOODY VILLAGE
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-4101
Mailing Address - Country:US
Mailing Address - Phone:610-527-0990
Mailing Address - Fax:610-527-7921
Practice Address - Street 1:3500 W CHESTER PIKE
Practice Address - Street 2:DUNWOODY VILLAGE
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-4101
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:2007-04-16
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