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GEORGE D. BERTHERMAN,O.D., INC.
NPI 1316072143
Optometrist in Providence, RI

Active since February 22, 2007
1466 BROAD ST, PROVIDENCE, RI 02905(401) 941-6221(401) 941-6227 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About George D. Bertherman,o.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE D. BERTHERMAN,O.D., INC. (NPI 1316072143) is a healthcare organization registered as an optometrist in Providence, Rhode Island and active in the NPI registry since February 2007. The organization lists George D Bertherman, President, as its authorized official.

NPPES Registry Identity

NPI1316072143
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameGEORGE D. BERTHERMAN,O.D., INC.
Location Address1466 BROAD STProvidence, RI 02905-2836
Mailing Address1466 Broad StProvidence, RI 02905-2836 · (401) 941-6221 · Fax (401) 941-6227
Phone(401) 941-6221
Fax(401) 941-6227
Organization SubpartNo
Authorized OfficialGeorge D BerthermanPresident · (401) 941-6221
Enumeration DateFebruary 22, 2007
Last NPPES UpdateSeptember 30, 2022
NPPES CertifiedSeptember 30, 2022
✔ NPI 1316072143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1466 BROAD ST, Providence, RI 02905
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Other Identifiers 1

Medicaid1316072RI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

George D. Bertherman,o.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to George D. Bertherman,o.D., Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Samantha Bertherman, OD
Optometry
NPI 1790353308
1466 BROAD ST
Providence, RI 02905
(401) 941-6221
✔ PECOS✔ Accepts MedicareSame address
George Bertherman, O.D
Optometry
NPI 1629074141
1466 BROAD ST
Providence, RI 02905
(401) 941-6221
✔ PECOS✔ Accepts MedicareSame address
Robert Thacker, O.D.
Optometry
NPI 1003874991
1466 BROAD ST
Providence, RI 02905
(401) 941-6221
✔ PECOS✔ Accepts MedicareSame address
Lynn Miller, O.D.
Optometry
NPI 1376808568
24 TULLY WAY
North Kingstown, RI 02852
(401) 641-7544
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George D. Bertherman,o.D., Inc.'s NPI number?

The NPI number for George D. Bertherman,o.D., Inc. is 1316072143. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is George D. Bertherman,o.D., Inc. located?

George D. Bertherman,o.D., Inc. is located at 1466 Broad St, Providence, RI 02905. The listed phone number is (401) 941-6221.

What is George D. Bertherman,o.D., Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is George D. Bertherman,o.D., Inc. enrolled in Medicare?

Yes. George D. Bertherman,o.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through George D. Bertherman,o.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to George D. Bertherman,o.D., Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does George D. Bertherman,o.D., Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list George D. Bertherman,o.D., Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for George D. Bertherman,o.D., Inc. was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.