Provider Demographics
NPI:1356975601
Name:SCHERTZINGER, GEORGE LOGAN (OD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:LOGAN
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:252-747-8957
Mailing Address - Fax:
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:252-747-8957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2609152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty