ROGER L. BERGERON, O.D.P.A. (NPI# 1629249842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629249842 |
| Entity Type | Organization |
| Organization Name | ROGER L. BERGERON, O.D.P.A. |
| Practice Address |
585 Main St Lewiston ME 04240-5945 |
| Practice Telephone | 2077840153 |
| Practice Fax Number | 2077866725 |
| Mailing Telephone | 2077840153 |
| Mailing Fax Number | 2077866725 |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2008-03-15 |
| Authorized Official Name | DR. ROGER L. BERGERON (PRESIDENT) |
| Authorized Official Telephone | 2077840153 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | RAIROAD MEDICARE | 410002654 | 01 |
| ME | 114880099 | 05 |
| Street Address |
585 MAIN ST |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-5945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467514356 | Roger L. Bergeron | Optometrist | 585 Main St, Lewiston, ME 04240-5945 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972169357 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2331 Thain Grade Ste 101, Lewiston, ID 83501-4119 | 2019-05-11 |
| 1861583932 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1916 19th Ave, Lewiston Ctr Mall, Lewiston, ID 83501-4069 | 2006-09-27 |
| 1891846903 | Lewiston Optical L.L.C. | Eyewear Supplier (Equipment, not the service) | 1313 G St, Lewiston, ID 83501-1934 | 2007-01-15 |
| 1619046240 | Wolf Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 249 Main St, Lewiston, ME 04240-7053 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1629676713 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Mount Auburn Ave, Auburn, ME 04210-8565 | 2020-10-12 |
| 1518573914 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 513-515 Warren Avenue, Portland, ME 04103-1005 | 2020-09-21 |
| 1326545476 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 363 Center St, Auburn, ME 04210-6114 | 2018-04-06 |
| 1376831313 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 11 Bangor Mall Blvd, Unit H, Bangor, ME 04401-3650 | 2011-07-12 |
| 1033415179 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 335 Maine Mall Rd, South Portland, ME 04106-3214 | 2011-02-08 |
| 1376791590 | State Street Optics | Eyewear Supplier (Equipment, not the service) | 207 State St, Bangor, ME 04401-5412 | 2008-08-29 |
| 1922275593 | Pro Vision Center,inc | Eyewear Supplier (Equipment, not the service) | 550 Center St, Suite 9068, Auburn, ME 04210-6305 | 2008-05-13 |
| 1124299219 | Paul R. Moulton, M.d. | Eyewear Supplier (Equipment, not the service) | 5 Grove Street, Bangor, ME 04401-5394 | 2008-03-17 |
| 1154509867 | John A. Dubois | Eyewear Supplier (Equipment, not the service) | 95 Maple St, Cornish, ME 04020-3101 | 2008-02-05 |
| Find all providers with the same taxonomy | ||||
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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.