George D. Bertherman,O.D., Inc.

LBN: George D. Bertherman,O.D., Inc.
George D. Bertherman,O.D., Inc. is an health care organization with primary practice located at 1466 Broad St , Providence RI 02905-2836. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. George D. Bertherman,O.D., Inc. can be contacted via phone (401) 941-6221, or through Bertherman, George D via phone (401) 941-6221.

Contact Information

Primary practice address
1466 Broad St Providence RI 02905-2836
Phone: (401) 941-6221
Fax: (401) 941-6227
Website:
Map and Directions
Authorized official contact:
Name: Bertherman, George D
Phone: (401) 941-6221

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1316072143
LBN Legal business name George D. Bertherman,O.D., Inc.
DBA Doing business as
Authorized official Bertherman, George D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Sep 30th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316072143 NPPES
Rhode Island MEDICAID 1316072

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