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BERGH-WHITE OPTICIANS INC NPI 1255491775


NPI Information

NPI: 1255491775
Provider Name: BERGH-WHITE OPTICIANS, INC
Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

Address:
2351 W MONROE ST
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 787-8700
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BERGH-WHITE OPTICIANS, INC is a vision therapy optometrist in Springfield, IL. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. BERGH-WHITE OPTICIANS, INC NPI is 1255491775. The provider is registered as an organization entity type.

The provider's business location address is:

2351 W MONROE ST
SPRINGFIELD, IL
ZIP 62704-452
Phone: (217) 787-8700
Fax: (217) 787-8707

The provider's authorized official is Kenneth F White .
The authorized official title is Vice President and has the following contact phone number (217) 787-8700.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 5/17/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierNo
2152W00000XOptometrist046008999ILLINOISNo
3152W00000XOptometrist046009181ILLINOISNo
4156FX1800XTechnician/TechnologistOpticianNo
5152WV0400XOptometristVision Therapy046008999ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10585960001MEDICARE NSCILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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