Individual
DR. GEORGE WALTER HERTNEKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
—
8018939
—
CO
01
—
HE40983
ANTHEM BLUE CROSS BLUE SH
CO
Enumeration date
10/24/2005
Last updated
04/18/2008
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