Individual provider Active NPI

Caroline Bertler, OD

  • Optometrist
  • Bridgewater, MA
National Provider Identifier
1689350985
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT7174 Issued in MA
Practice address
54 Broad St
Bridgewater, MA 02324-1748
Phone
(508) 697-8001
Fax
(508) 827-8002
NPI assigned
Jun 22, 2023
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6255 FL
Optometrist 152W00000X OPT7174 MA Primary

Addresses

Primary practice location

54 Broad St
Bridgewater, MA 02324-1748

Mailing address

54 Broad St
Bridgewater, MA 02324-1748
Phone (508) 697-8001

Other practice location 1

940 Belmont St
Brockton, MA 02301-5596
Phone (508) 583-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20250103001793 MA Practitioner - Optometry 6507394517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Bridgewater EyeGroup PAC ID 6406261460, 3 clinicians

Practice addresses (Care Compare)

54 Broad St
Bridgewater, MA 02324-1748
Phone (508) 697-8001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6255FLMDOptometrist
OPT7174MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewater Eye Optometrist CurrentSince Dec 31, 2024 Accepting new patients
Plymouth Bridgewater Eye Care Optometrist CurrentSince Dec 31, 2024 Accepting new patients

Locations

54 Broad St
Bridgewater, MA 02324
Phone (508) 697-8001

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1689350985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BROAD ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241748",
            "telephone_number": "508-697-8001",
            "fax_number": "508-827-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BROAD ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023241748",
            "telephone_number": "508-697-8001",
            "fax_number": "508-827-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Belmont St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023015596",
            "country_code": "US",
            "telephone_number": "508-583-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTLER",
        "first_name": "CAROLINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6255",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT7174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.