| George D. Bertherman,o.d., Inc. | |
|
1466 Broad St, Providence, RI 02905-2836 | |
| (401) 941-6221 | |
| (401) 941-6227 |
| Full Name | George D. Bertherman,o.d., Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1466 Broad St, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316072143 | NPI | - | NPPES |
| 1316072 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | George D Bertherman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629074141 PECOS PAC ID: 5294834271 Enrollment ID: I20070618000142 |
| Provider Name | Robert M Thacker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003874991 PECOS PAC ID: 5496883001 Enrollment ID: I20100503000021 |
| Provider Name | Lynn V Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376808568 PECOS PAC ID: 7113162868 Enrollment ID: I20130328000408 |
| Provider Name | Samantha Marie Bertherman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790353308 PECOS PAC ID: 4688076623 Enrollment ID: I20210713001989 |
| Mailing Address | Practice Location Address |
|---|---|
| George D. Bertherman,o.d., Inc. 1466 Broad St, Providence, RI 02905-2836 Ph: (401) 941-6221 | George D. Bertherman,o.d., Inc. 1466 Broad St, Providence, RI 02905-2836 Ph: (401) 941-6221 |
Dr. Robert Mitchell Thacker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1466 Broad St, Providence, RI 02905 Phone: 401-941-6221 Fax: 401-941-6227 | |
Holly Rose Torres, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1 Hoppin St Ste 202, Providence, RI 02903 Phone: 401-444-6551 | |
Rhode Island Eye Institute Optometrist Medicare: Medicare Enrolled Practice Location: 150 E Manning St, Providence, RI 02906 Phone: 401-272-2020 | |
Eye Care Services Optometrist Medicare: Not Enrolled in Medicare Practice Location: 740 N Main St, Providence, RI 02904 Phone: 401-272-8282 Fax: 401-272-8284 | |
Eyediology Vision, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 245 Waterman St Ste 309, Providence, RI 02906 Phone: 732-668-9571 | |
East Side Vision Care Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 Thayer St, Providence, RI 02906 Phone: 401-421-4500 Fax: 401-421-3876 | |
Stephanie Sturgis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 891 Westminster St, Providence, RI 02903 Phone: 401-331-7850 Fax: 401-274-4739 |