Bertram Tarleton Harvey IV, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1962 Issued in CO

Practice address

2001 46TH Ave
Greeley, CO 80634-3250

Phone

(970) 330-7070

Fax

(970) 330-8382

NPI assigned

Dec 22, 2005

Last updated

Jan 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Tarry Bertram Harvey IV Professional name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Clinic of Greeley P CGroup PAC ID 3577452861, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vision Clinic of Greeley P C

  dba Vision Clinic at Foxhill

  • Optometrist
  • Greeley, CO
  • NPI 1508948829
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1043296965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 46TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343250",
            "telephone_number": "970-330-7070",
            "fax_number": "970-330-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 46TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343250",
            "telephone_number": "970-330-7070",
            "fax_number": "970-330-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "BERTRAM",
        "middle_name": "TARLETON",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARRY",
            "last_name": "HARVEY",
            "middle_name": "BERTRAM",
            "prefix": "DR.",
            "suffix": "IV",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elizabeth Jane Hart
• Robert T Hart, M.D.
• Amy Jeanne Hartley, FNP
• Aynsley Qi-Wen Hartney, MD
• Hilary Erin Hartwig
• Collin Harvey, MD
• Ryan Harward, D.C.
• Erica Haseman, M.A., CCC-SLP
• Tiffany Hash
• Mary Susan Haskett, CRNA

• Optometrist in Greeley, CO
• Providers in Greeley, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.