George D Bertherman (NPI# 1629074141, PAC ID# 5294834271) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1629074141 |
| PAC ID by PECOS | 5294834271 |
| Professional Enrollment ID | I20070618000142 |
| Full Name | George D Bertherman |
| Organization Legal Name | GEORGE D BERTHERMAN, O.D., INC. |
| Address |
1466 Broad St Providence RI 02905-2836 |
| Phone Number | 4019416221 |
| Gender | M |
| Credential | OD |
| Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
| Graduation Year | 1993 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1355441858 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1466 Broad St, Providence, RI 02905-2836 | 4019416221 | GEORGE D BERTHERMAN, O.D., INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | GEORGE D BERTHERMAN, O.D., INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Thacker | Optometry | George D Bertherman, O.d., Inc. | 1466 Broad St, Providence, RI 02905-2836 |
| Lynn V Miller | Optometry | George D Bertherman, O.d., Inc. | 1466 Broad St, Providence, RI 02905-2836 |
| Didem Kokturk | Optometry | George D Bertherman, O.d., Inc. | 1466 Broad St, Providence, RI 02905-2836 |
| Street Address |
1466 BROAD ST |
| City | PROVIDENCE |
| State | RI |
| Zip | 02905-2836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Thacker | Optometry | George D Bertherman, O.d., Inc. | 1466 Broad St, Providence, RI 02905-2836 |
| Lynn V Miller | Optometry | George D Bertherman, O.d., Inc. | 1466 Broad St, Providence, RI 02905-2836 |
| Didem Kokturk | Optometry | George D Bertherman, O.d., Inc. | 1466 Broad St, Providence, RI 02905-2836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clarissa D. Lewis | Optometry | The Providence Community Health Centers Inc. | 335 Prairie Ave, Fl 2, Providence, RI 02905-1924 |
| Angel M. Eads | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Sandrine O Guilherme | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Katherine Williams | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Luis A Ferreira | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Andrew Saal | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Lauren E Stewart | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Tenesha R Lisbon | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Elaine K Parker Williams | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Carla Martin | Internal Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Find all physicians in zip 02905 | |||
| City | PROVIDENCE |
| Zip Code | 02905 |
| Specialty | OPTOMETRY |
| City + Specialty | PROVIDENCE + OPTOMETRY |
Please comment or provide details below to improve the information on George D Bertherman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.