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ERIC BERGSTROM OD PLLC NPI 1124289897


NPI Information

NPI: 1124289897
Provider Name: ERIC BERGSTROM OD, PLLC

Doing Business As: QUEEN ANNE EYE CLINIC

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
607 W MCGRAW ST
SEATTLE, WA
ZIP 98119
Phone: (206) 282-8120
Get Directions

ERIC BERGSTROM OD, PLLC is an optometrist in Seattle, WA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. ERIC BERGSTROM OD, PLLC NPI is 1124289897. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Queen Anne Eye Clinic.

The provider's business location address is:

607 W MCGRAW ST
SEATTLE, WA
ZIP 98119-836
Phone: (206) 282-8120
Fax: (206) 282-8046

The provider's authorized official is Eric John Bergstrom .
The authorized official title is Owner and has the following contact phone number (206) 282-8120.

The enumeration date for this NPI number is 6/24/2008 and was last updated on 12/9/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist3645WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AB26477MEDICARE PINWASHINGTON

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: 11/14/2023

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