Individual provider Active NPI

George E. Schertzinger, OD

  • Optometrist
  • Snow Hill, NC
National Provider Identifier
1548220056
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0971 Issued in NC
Practice address
107 Parkwood Dr
Snow Hill, NC 28580-1337
Phone
(252) 747-8149
Fax
(252) 747-4149
NPI assigned
Mar 27, 2006
Last updated
Sep 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0971 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) 747-8149

Other identifiers 1

IdentifierTypeStateIssuer
7909799MedicaidNC

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
I20071113000706 NC Practitioner - Optometry 2567550254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 Park Dr
Snow Hill, NC 28580-1337
Phone (252) 747-8149

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0971NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Eye Associates of Pitt-Greene, OD PA Optometrist CurrentSince May 5, 1993 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1548220056",
    "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": "252-747-8149",
            "fax_number": "252-747-4149"
        },
        {
            "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": "252-747-8149",
            "fax_number": "252-747-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERTZINGER",
        "first_name": "GEORGE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7909799",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snow Hill, NC

Sources for this page

Verify at the official NPI Registry.