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General NPI Number Information
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NPI Number | 1447702303
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Entity Type | Organization
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Legal Business Name | KARTESZ EYE ASSOCIATES INC.
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 4922 VALLY VIEW BLVD.
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City | ROANOKE
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State | VA
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Zip | 24012
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Country | US
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Telephone | 540-562-3458
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Fax |
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Provider Business Mailing Address
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Address Line | 4922 VALLY VIEW BLVD.
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City | ROANOKE
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State | VA
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Zip | 24012
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Country | US
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Telephone | 540-562-3458
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. ANDREW CHARLES KARTESZ
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Credential | OD
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Telephone | 540-562-3458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618001287
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License Number State | VA
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