Individual provider Active NPI

George Logan Schertzinger, OD

  • Optometrist
  • Snow Hill, NC
National Provider Identifier
1356975601
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2609 Issued in NC
Practice address
107 Parkwood Dr
Snow Hill, NC 28580-1337
Phone
(252) 747-8957
NPI assigned
Feb 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2609 NC Primary

Addresses

Primary practice location

107 Parkwood Dr
Snow Hill, NC 28580-1337

Mailing address

107 Parkwood Dr
Snow Hill, NC 28580-1337
Phone (252) 747-8957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201222000952 NC Practitioner - Optometry 8426460171 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2609NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Eye Associates of Pitt-Greene, OD PA Optometrist CurrentSince Dec 9, 2020 Accepting new patients

Locations

107 Parkwood Dr
Snow Hill, NC 28580
Phone (252) 747-8149

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1356975601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PARKWOOD DR",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801337",
            "telephone_number": "252-747-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PARKWOOD DR",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801337",
            "telephone_number": "252-747-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERTZINGER",
        "first_name": "GEORGE",
        "middle_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snow Hill, NC

Sources for this page

Verify at the official NPI Registry.