Linda R Bertram, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00003471 Issued in WA

Practice address

1990 Hospital Drive
Suite 110
Sedro Woolley, WA 98284

Phone

(360) 854-2750

Fax

(360) 854-2755

NPI assigned

Jan 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Binyon Optometrists, Inc .PS

  • Optometrist
  • Bellingham, WA
  • NPI 1245412014
  NPD (past)
• Binyon Vision Bellingham PLLC

  • Optometrist
  • Bellingham, WA
  • NPI 1265107114
  NPD (past)
• Public Hospital Dist No 1 Skagit

  • Specialist
  • Mount Vernon, WA
  • NPI 1629012463
  NPD (past)

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1528039559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E KINCAID ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744127",
            "telephone_number": "360-428-2500",
            "fax_number": "360-428-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 HOSPITAL DRIVE",
            "address_2": "SUITE 110",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "98284",
            "telephone_number": "360-854-2750",
            "fax_number": "360-854-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTRAM",
        "first_name": "LINDA",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-28",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "263647",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528039559",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah F Bennett
• Ashley Marie Berg, RTS
• Tiffany Berg, RN
• Linda Lee Bergen, ATC NATA
• Justin Richard Berlandi
• Robert Bevan
• Cecelia Bianchini
• Jennifer Bielas
• Francis Orville Bierl, D.C.
• Aruem Kandy Bierman, PHARMD

• Optometrist in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.