Charity Grieco Hertzog, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

AR2585 Issued in AR

Practice address

10809 Executive Center Dr Ste 201
Little Rock, AR 72211-6021

Phone

(501) 588-0072

Fax

(501) 221-3751

NPI assigned

May 26, 2011

Last updated

May 26, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Optometry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hertzog Family Eye Care PAGroup PAC ID 0042357725, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hertzog Family Eye Care PA

  • Optometrist
  • Cabot, AR
  • NPI 1801029574
  Medicare reassignment Care Compare group NPD
• The Laser Center

  • Optometrist
  • Little Rock, AR
  • NPI 1508069493
  NPD (past)
• TLC VC, LLC

  dba TLC Laser Eye Centers Little Rock

  • Clinic/Center
  • Little Rock, AR
  • NPI 1720293863
  NPD (past)

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1831482603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10809 EXECUTIVE CENTER DR STE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722116021",
            "telephone_number": "501-588-0072",
            "fax_number": "501-221-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10809 EXECUTIVE CENTER DR STE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722116021",
            "telephone_number": "501-588-0072",
            "fax_number": "501-221-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZOG",
        "first_name": "CHARITY",
        "middle_name": "GRIECO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Herrington
• Jerry M Herron, M.D.
• Nia Herron
• Shanece Herron
• Madison Nicole Hershberger, MD
• Alana Hervey, RRT
• Emmanual Hervey
• Gwendolyn Paige Herzig, PHARM. D.
• Hes Anesthesia Inc
• Donabelle C Hess, LAMFT

• Optometrist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.