Individual
JOHN T KARDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
14625 MOUNT AIRY RD, SHREWSBURY, PA 17361-1431
(717) 227-2030
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
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
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