Provider Demographics
NPI:1548220056
Name:SCHERTZINGER, GEORGE E (OD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:E
Last Name:SCHERTZINGER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 PARKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SNOW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28580-1337
Mailing Address - Country:US
Mailing Address - Phone:252-747-8149
Mailing Address - Fax:252-747-4149
Practice Address - Street 1:107 PARKWOOD DR
Practice Address - Street 2:
Practice Address - City:SNOW HILL
Practice Address - State:NC
Practice Address - Zip Code:28580-1337
Practice Address - Country:US
Practice Address - Phone:252-747-8149
Practice Address - Fax:252-747-4149
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0971152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7909799Medicaid
NC7909799Medicaid
NC64818Medicare UPIN