Provider Demographics
NPI:1457178923
Name:KARTESZ FAMILY VISION LLC
Entity type:Organization
Organization Name:KARTESZ FAMILY VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARTESZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:814-989-2010
Mailing Address - Street 1:23 KENNEDY ST STE 301
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16701-2065
Mailing Address - Country:US
Mailing Address - Phone:814-989-2010
Mailing Address - Fax:814-989-2011
Practice Address - Street 1:23 KENNEDY ST STE 301
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:PA
Practice Address - Zip Code:16701-2065
Practice Address - Country:US
Practice Address - Phone:814-989-2010
Practice Address - Fax:814-989-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1021224170001Medicaid