Provider Demographics
NPI:1689350985
Name:BERTLER, CAROLINE (OD)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:BERTLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-1748
Mailing Address - Country:US
Mailing Address - Phone:508-697-8001
Mailing Address - Fax:508-827-8002
Practice Address - Street 1:54 BROAD ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-1748
Practice Address - Country:US
Practice Address - Phone:508-697-8001
Practice Address - Fax:508-827-8002
Is Sole Proprietor?:No
Enumeration Date:2023-06-22
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6255152W00000X
MAOPT7174152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist