Hertzog Optical, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G52761 Issued in CA

Legal business name

HERTZOG OPTICAL, LLC

Practice address

2977 Redondo Ave
Long Beach, CA 90806-2445

Phone

(562) 595-8587

NPI assigned

Jan 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Leif Mark Hertzog, M.D.NPI 1528139367

Title

Owner

Phone

(562) 595-8587

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leif M Hertzog, MD

  • Ophthalmology Physician
  • Long Beach, CA
  • NPI 1528139367
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1104975374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2977 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062445",
            "telephone_number": "562-595-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2977 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062445",
            "telephone_number": "562-595-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERTZOG OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "HERTZOG",
        "authorized_official_first_name": "LEIF",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-595-8587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G52761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Herridge
• Grace Herron
• Kathleen Ann Herron, M.D.
• Melvin Herst, M.A.
• Hertzog Eye Associates a Medical Corporation
• Hans Dieter Hertzog, M.D.
• Lars H Hertzog, M.D., F.A.C.S.
• Leif M Hertzog, MD
• Cynthia Herzog, M.D.
• Margot Hesel, FNP

• Ophthalmology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.