NPI 1538158860

Carol Deitz-Bertke, OD

Practitioner Optometrist Edgewood, KY

Practice location

Address: 581 Dudley Pike, Edgewood, KY 41017-3296
Phone: (859) 341-0888
Fax: (859) 341-3386
Mailing address: 2486 Legends Way, Crestview Hills, KY 41017-3479

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1134DT (KY)

Other Optometrist providers in Kentucky →

Vision Therapy Optometrist

Eye and Vision Services Providers Taxonomy 152WV0400X Licence 1134DT (KY)

Registry record

NPI: 1538158860
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2005
Record last updated: 29 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.