Individual
DR. GEORGE WALTER HERTNEKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1893
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8018939
—
CO
01
—
HE40983
ANTHEM BLUE CROSS BLUE SH
CO
Enumeration date
10/24/2005
Last updated
04/18/2008
Update your record
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