Organization
HERTZOG FAMILY EYE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HERTZOG OD (PRESIDENT)
(501) 941-2222
Entity
Organization
Contact information
Practice address
1004 S PINE ST STE F, CABOT, AR 72023-3864
(501) 941-2222
Mailing address
1004 S PINE ST, SUITE F, CABOT, AR 72023-3865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167794722
—
AR
05
—
179669722
—
AR
Enumeration date
08/28/2009
Last updated
12/03/2014
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