DR. PETER BERGENSKE (NPI# 1447672902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447672902 |
| Entity Type | Individual |
| Full Name | DR. PETER BERGENSKE |
| Credential | O.D. |
| Practice Address |
19710 E Buckeye Ave Otis Orchards WA 99027-9533 |
| Practice Telephone | 5099940947 |
| Mailing Telephone | 5099940947 |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 00001767 | WA | Eye and Vision Services Providers |
| Street Address |
19710 E BUCKEYE AVE |
| City | OTIS ORCHARDS |
| State | WA |
| Zip Code | 99027-9533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770647984 | Pamela Ann Mercer | Naturopath | 4304 N. Murray, Otis Orchard, WA 99027 | 2006-12-21 |
| 1154928380 | Ashley Nicole Ceresa | Counselor | 5108 N Del Rey Dr, Otis Orchards, WA 99027-5105 | 2020-10-01 |
| 1013253426 | Michelle Lee Ellis | Occupational Therapy Assistant | 5821 N Hermosa Cir, Otis Orchards, WA 99027-8278 | 2012-12-13 |
| 1992046288 | Carla Mae Carnegie | Music Therapist | 5005 N Harvard Rd, Otis Orchards, WA 99027-9209 | 2013-03-12 |
| 1861731945 | Lori Sue Burke | Speech-Language Pathologist | 22000 E Wellesley Ave, Otis Orchards, WA 99027-9235 | 2013-02-08 |
| 1679725089 | Kerri C Miller | Mechanotherapist | 5700 N Drury Rd, Otis Orchards, WA 99027-9392 | 2008-10-16 |
| 1598232902 | Jozlinn Rae | Military Health Care Provider | 3710 N Garry Rd, Otis Orchards, WA 99027-9397 | 2018-10-24 |
| 1851666184 | Terri Lynn Young | Midwife | 18707 E Jackson Dr, Spokane Valley, WA 99027-9524 | 2012-03-20 |
| 1023590833 | Hillary Jean Shultz | Registered Nurse | 18818 E Marlin Dr, Spokane Valley, WA 99027-9560 | 2018-08-29 |
| 1013378504 | Maryln A Clary | Behavioral Analyst | 5119 N Karen Rd, Otis Orchards, WA 99027-9687 | 2016-03-11 |
| Find all providers in zip 99027 | ||||
| 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 |
|---|---|---|---|---|
| 1215544101 | Destiny Nicole Mccoy | Optometrist | 19400 108th Ave Se Ste 202, Kent, WA 98031-0108 | 2020-09-25 |
| 1598370371 | Optometry Medical Group Inc | Optometrist | 1721 22nd Ave, Seattle, WA 98122-3324 | 2020-09-09 |
| 1962011320 | Kristine Marie Hackett | Optometrist | 19301 Se 34th St Ste 104, Camas, WA 98607-8881 | 2020-07-30 |
| 1245857044 | Minha Lee | Optometrist | 1468 158th Pl Ne, Bellevue, WA 98008-2782 | 2020-06-29 |
| 1437774734 | Vision Plus of Barkley Pllc | Optometrist | 2900 Woburn St Ste 101, Bellingham, WA 98226-3865 | 2020-06-11 |
| 1558985671 | Tiffany Lundberg | Optometrist | 2010 W Lincoln Ave Ste 1, Yakima, WA 98902-2413 | 2020-06-04 |
| 1801423041 | Jayeon Vision | Optometrist | 13909 Meridian E Ste A3, Puyallup, WA 98373-9180 | 2020-03-26 |
| 1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
| 1942832845 | Trinity Vision Pllc | Optometrist | 4750 N Division St Ste 282, Spokane, WA 99207-1433 | 2020-02-07 |
| 1104464536 | Washington Eyes, LLC | Optometrist | 5011 W Lowell Ave Ste 120, Spokane, WA 99208-8587 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
| City | OTIS ORCHARDS |
| Zip Code | 99027 |
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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.