ERIC BERGSTROM OD, PLLC (NPI# 1124289897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124289897 |
| Entity Type | Organization |
| Organization Name | ERIC BERGSTROM OD, PLLC |
| Other Organization Name | QUEEN ANNE EYE CLINIC |
| Practice Address |
607 W Mcgraw St Seattle WA 98119-2836 |
| Practice Telephone | 2062828120 |
| Practice Fax Number | 2062828046 |
| Mailing Telephone | 2062828120 |
| Mailing Fax Number | 2062828046 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2009-12-09 |
| Authorized Official Name | DR. ERIC JOHN BERGSTROM (OWNER) |
| Authorized Official Telephone | 2062828120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3645 | WA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Queen Anne Eye Clinic | Doing Business As Name - Organization |
| Street Address |
607 W MCGRAW ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98119-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102911 | Philip H Benjamin | Counselor | Philip Benjamin Seattle Psychology, Pllc 200 W. Mercer, Suite 111, Seattle, WA 98119 | 2020-10-21 |
| 1578182689 | Kacie Krantz | Nutritionist | 1511 11th Ave W #3, Seattle, WA 98119 | 2020-04-09 |
| 1427539949 | Jessica Roberts Calhoun | Registered Nurse | Mcclure Middle School, 1915 1st Ave W, Seattle, WA 98119 | 2018-08-23 |
| 1144745704 | Jessalyn A Coleman | Specialist/Technologist | 3307 Third Ave W, Seattle, WA 98119 | 2017-08-04 |
| 1013431337 | Catherine Alexa Batiquin | Massage Therapist | 415 W Mercer St., 101, Seattle, WA 98119 | 2017-07-28 |
| 1962958546 | Sarah Olivia Keller | Counselor | 2617 14th Ave West, Apt. 2, Seattle, WA 98119 | 2016-09-01 |
| 1588040836 | Seattle Face and Skin, Pllc | Otolaryngology | 200 W. Galer St, Seattle, WA 98119 | 2015-08-09 |
| 1376971580 | Jennifer Frechette | Counselor | 11 W. Mcgraw St, Seattle, WA 98119 | 2013-10-25 |
| 1770911943 | Grace Hearn | Counselor | 200 1st Avenue West, Suite 400, Seattle, WA 98119 | 2013-10-24 |
| 1881032423 | Richard Atwood Willson | Internal Medicine | 815 West Galer Street, Seattle, WA 98119 | 2013-06-05 |
| Find all providers in zip 98119 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370371 | Optometry Medical Group Inc | Optometrist | 1721 22nd Ave, Seattle, WA 98122-3324 | 2020-09-09 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1376083741 | International Community Health Services | Optometrist | 718 8th Ave S, Seattle, WA 98104-3006 | 2017-03-03 |
| 1962947978 | Jemimah Miranda Corpuz | Optometrist | 3324 Rainier Ave S, Seattle, WA 98144-6034 | 2016-12-29 |
| 1396292058 | Urban Optix LLC | Optometrist | 400 Fairview Ave N Ste 115, Seattle, WA 98109-5370 | 2016-09-09 |
| 1518412063 | Eyeballz Ltd. | Optometrist | 166 Roy St, Seattle, WA 98109-4128 | 2016-08-24 |
| 1467804864 | Brittany Kim Ng | Optometrist | 9709 3rd Ave Ne Fl 3, Seattle, WA 98115-2062 | 2016-07-08 |
| 1205297835 | Vinayak Varun Ravuri | Optometrist | 2718 Franklin Ave E Apt 11, Seattle, WA 98102-3102 | 2016-03-09 |
| 1902288202 | Noelle Sun | Optometrist | 4626 Martin Luther King Jr Way S, Seattle, WA 98108-2135 | 2015-06-23 |
| 1396142873 | Evie Lawson, Od, Ps | Optometrist | 7225 27th Ave Ne, Seattle, WA 98115-5821 | 2014-11-26 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.