Organization
GEORGE W. HERTNEKY, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE WALTER HERTNEKY O.D. (PRESIDENT)
(970) 842-5166
Entity
Organization
Contact information
Practice address
212 CAMERON ST, BRUSH, CO 80723-2015
(970) 842-5166
(970) 842-5167
Mailing address
212 CAMERON ST, BRUSH, CO 80723-2015
(970) 842-5166
(970) 842-5167
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1893
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04020665
—
CO
Enumeration date
05/23/2007
Last updated
02/05/2008
Update your record
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