Active NPI
George W. Hertneky, O.D., P.C.
- Optometrist
- Brush, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT1893
- Legal business name
- GEORGE W. HERTNEKY, O.D., P.C.
- Practice address
- 212 Cameron St
Brush, CO 80723-2015 - Phone
- (970) 842-5166
- Fax
- (970) 842-5167
- NPI assigned
- May 23, 2007
- Last updated
- Feb 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Walter Hertneky, O.D.
- Title
- President
- Phone
- (970) 842-5166
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT1893 | CO | Primary |
Addresses
Primary practice location
212 Cameron St
Brush, CO 80723-2015
Mailing address
212 Cameron St
Brush, CO 80723-2015
Phone (970) 842-5166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101129000106 | CO | Part B Supplier - Clinic/Group Practice | 4183745953 |
Receives reassigned benefits from 1 practitioner Practice locations: Brush, CO |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
212 Cameron St
Brush, CO 80723
Phone (970) 842-5166
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Brush, CO
- NPI 1053301861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202169600000",
"number": "1003026477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 CAMERON ST",
"city": "BRUSH",
"state": "CO",
"postal_code": "807232015",
"telephone_number": "970-842-5166",
"fax_number": "970-842-5167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 CAMERON ST",
"city": "BRUSH",
"state": "CO",
"postal_code": "807232015",
"telephone_number": "970-842-5166",
"fax_number": "970-842-5167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE W. HERTNEKY, O.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2008-02-05",
"status": "A",
"authorized_official_last_name": "HERTNEKY",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "WALTER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "970-842-5166",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CO",
"license": "OPT1893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brush, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.