Deitz-Bertke, Carol
Deitz-Bertke, Carol is an individual health care provider with primary practice located at 581 Dudley Pike , Edgewood KY 41017-3296. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Deitz-Bertke, Carol can be contacted via phone (859) 341-0888.Contact Information
Primary practice address
581 Dudley Pike
Edgewood KY 41017-3296
Phone: (859) 341-0888
Fax: (859) 341-3386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1134DT | Kentucky |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1134DT | Kentucky |
Profile Details
| NPI number | 1538158860 |
|---|---|
| LBN Legal business name | Deitz-Bertke, Carol |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Jun 29th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538158860 | NPPES |
| Kentucky | Other | 000000049502 | BLUE CROSS &BLUE SHIELD |
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