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HEATHER M BERGERUD OD INC NPI 1497828842


NPI Information

NPI: 1497828842
Provider Name: HEATHER M BERGERUD OD INC

Other Name: HEATHER M BERGERUD OD

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
3745 LOUISIANA AVE S
ST. LOUIS PARK, MN
ZIP 55426
Phone: (952) 922-4427
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HEATHER M BERGERUD OD INC is an optometrist in St. Louis Park, MN. 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. HEATHER M BERGERUD OD INC NPI is 1497828842. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Heather M Bergerud Od.

The provider's business location address is:

3745 LOUISIANA AVE S
ST. LOUIS PARK, MN
ZIP 55426
Phone: (952) 922-4427
Fax: (952) 922-4761

The provider's authorized official is Heather Marie Bergerud .
The authorized official title is Chief Officer and has the following contact phone number (952) 403-1694.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/22/2020.


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
1152W00000XOptometrist2621MINNESOTAYes

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
12201839OTHERMINNESOTAMEDICA
2300J5BEOTHERMINNESOTABCBS

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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