JEANETTE L. BERGSTROM DBA BURNT HILLS OPTICAL (NPI# 1184899783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184899783 |
| Entity Type | Organization |
| Organization Name | JEANETTE L. BERGSTROM DBA BURNT HILLS OPTICAL |
| Other Organization Name | BURNT HILLS OPTICAL |
| Practice Address |
793 State Route 50 Burnt Hills NY 12027-9501 |
| Mailing Address |
Po Box 209 793 Route 50 Burnt Hills NY 12027-0209 |
| Practice Telephone | 5183996130 |
| Practice Fax Number | 5183994604 |
| Mailing Telephone | 5183996130 |
| Mailing Fax Number | 5183994604 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-07-07 |
| Authorized Official Name | MRS. JEANETTE L. BERGSTROM (OWNER) |
| Authorized Official Telephone | 5183996130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Burnt Hills Optical | Doing Business As Name - Organization |
| Street Address |
793 STATE ROUTE 50 |
| City | BURNT HILLS |
| State | NY |
| Zip Code | 12027-9501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891005120 | Stephanie Triolo Holley | Occupational Therapist | 18 Townley Drive, Burnt Hills, NY 12027 | 2010-10-20 |
| 1861515652 | Richard Brian Lamanna | Dentist | 818 Saratoga Road, Burnt Hills, NY 12027 | 2007-04-09 |
| 1871691584 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 120 Lake Hill Rd, Burnt Hills, NY 12027 | 2006-09-20 |
| 1659477172 | Laurie Anne Delucia Fearman | Dentist | 105 Lake Hill Road., Burnt Hills, NY 12027 | 2006-09-15 |
| 1952305203 | Arthur H Ostrov | Internal Medicine | 848 Route 50, Burnt Hills, NY 12027 | 2005-06-02 |
| 1447784343 | Nicole Marie Morroni | Nurse Practitioner | 848 Route 50, Burnt Hills, NY 12027 | 2017-04-18 |
| 1801265947 | Kathleen R Cornell | Nurse Practitioner | 848 Route 50, Burnt Hills, NY 12027 | 2015-09-18 |
| 1811279375 | Joseph P Denning | Dentist | 163 Lake Hill Rd, Burnt Hills, NY 12027 | 2011-09-12 |
| 1104141209 | Zachary A Feinberg | Internal Medicine | 848 Route 50, Burnt Hills, NY 12027 | 2010-03-31 |
| 1396989869 | Chad M. Cornish | Internal Medicine | 848 Route 50, Burnt Hills, NY 12027 | 2009-04-28 |
| Find all providers in zip 12027 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871735191 | Burnt Hills Optical, Inc | Technician/Technologist | 793 Route 50, Burnt Hills, NY 12027-9501 | 2009-04-01 |
| 1437333838 | Kristen Cameron | Technician/Technologist | 793 Rt. 50, Burnt Hills, NY 12027-0209 | 2007-12-20 |
| 1043452626 | David Bruce Cameron | Technician/Technologist | 793 Rt. 50, Burnt Hills, NY 12027-0209 | 2009-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202628 | Smart Vision Care Inc. | Technician/Technologist | 5107 108th St # B, Corona, NY 11368-3304 | 2020-10-14 |
| 1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
| 1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
| 1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
| 1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
| 1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
| 1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
| 1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
| Find all providers with the same taxonomy | ||||
| City | BURNT HILLS |
| Zip Code | 12027 |
Please comment or provide details below to improve the information on JEANETTE L. BERGSTROM DBA BURNT HILLS OPTICAL.
| 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.