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Individual

JOHN T KARDOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
I3-0001414
DE
152W00000X
Optometrist
Primary
OE6897P
PA
152W00000X
Optometrist
TA2792
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
289321
MAMSI PROVIDER NUMBER
PA
01
396758
NVA IDENTIFIER
PA
01
5204517
AETNA NUMBER
PA
01
52450901
MARYLAND PROVIDER NUMBER
MD
05
538644
PA
Enumeration date
04/25/2006
Last updated
12/06/2021
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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