Provider Demographics
NPI:1992801591
Name:GERTNER, MILTON (OD)
Entity type:Individual
Prefix:
First Name:MILTON
Middle Name:
Last Name:GERTNER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 GUILFORD DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-5100
Mailing Address - Country:US
Mailing Address - Phone:301-631-2274
Mailing Address - Fax:301-682-5437
Practice Address - Street 1:7400 GUILFORD DR
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-5100
Practice Address - Country:US
Practice Address - Phone:301-631-2274
Practice Address - Fax:301-682-5437
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA970152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management