Jodi A Bergstrom (NPI# 1568511095, PAC ID# 3779680483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1568511095 |
| PAC ID by PECOS | 3779680483 |
| Professional Enrollment ID | I20170111001033 |
| Full Name | Jodi A Bergstrom |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Address |
801 W Central Entrance Duluth MN 55811-5468 |
| Phone Number | 2187277163 |
| Gender | F |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1989 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0749292639 |
| Number of Group Practice Members | 144 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 801 W Central Entrance, Duluth, MN 55811-5468 | 2187277163 | SHOPKO STORES OPERATING CO LLC |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor L Douglas | Optometry | Shopko Stores Operating Co LLC | 900 W Memorial Rd, Shopko Optical 123, Houghton, MI 44931-2481 |
| James D Mckell | Optometry | Shopko Stores Operating Co LLC | 955 N Main St, Spanish Fork, UT 84660-1150 |
| Kelly Rd Mccarthy | Optometry | Shopko Stores Operating Co LLC | 510 E Philip Ave, North Platte, NE 69101-5538 |
| Kellye P Zaporski | Optometry | Shopko Stores Operating Co LLC | 701 S Church St, Watertown, WI 53094-6213 |
| Theresa M Dellaert | Optometry | Shopko Stores Operating Co LLC | 255 John F Kennedy Rd, Dubuque, IA 52002-5313 |
| Karl T Jepson | Optometry | Shopko Stores Operating Co LLC | 510 E Phillip Ave, North Platte, NE 69101-5538 |
| Jared W Nelson | Optometry | Shopko Stores Operating Co LLC | 747 S Main St, Brigham City, UT 84302-3359 |
| Margaret A Wolan | Optometry | Shopko Stores Operating Co LLC | 7401 Mineral Point Rd, Madison, WI 53717-1703 |
| Robert P Todd | Optometry | Shopko Stores Operating Co LLC | 211 S 23rd St, Shopko Optical 4662, Plattsmouth, NE 68048-2903 |
| Brooke A Wiener | Optometry | Shopko Stores Operating Co LLC | 5630 St Croix Trail, North Branch, MN 55056 |
| Street Address |
801 W CENTRAL ENTRANCE |
| City | DULUTH |
| State | MN |
| Zip | 55811-5468 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie A Orbeck | Clinical Social Worker | Therapeutic and Behavioral Health Services | 5270 Miller Trunk Hwy, Hermantown, MN 55811-1202 |
| Jason C Bramstedt | Chiropractic | 4888 Miller Trunk Hwy, Hermantown, MN 55811-1504 | |
| Jeffrey F Hady | Chiropractic | Hermantown Chiropractic Clinic Pa | 4888 Miller Trunk Hwy, Hermantown, MN 55811-1504 |
| Joseph S Parpala | Chiropractic | True North Spinal Care Pllc | 5094 Miller Trunk Hwy 900, Hermantown, MN 55811-1651 |
| Geoffrey C Bennett | Optometry | 1902 Miller Trunk Hwy, Duluth, MN 55811-1810 | |
| Janelle S Strom | Optometry | Relf Eyecare Specialists Pa | 4413 Air Base Rd, Hermantown, MN 55811-1847 |
| Todd Brittain | Ophthalmology | Relf Eyecare Specialists Pa | 4413 Air Base Rd, Hermantown, MN 55811-1847 |
| Lisa S Graham | Ophthalmology | Relf Eyecare Specialists Pa | 4413 Air Base Rd, Hermantown, MN 55811-1847 |
| Kayla M Bechthold | Optometry | Relf Eyecare Specialists Pa | 4413 Air Base Rd, Hermantown, MN 55811-1847 |
| Susan J Relf | Ophthalmology | Relf Eyecare Specialists Pa | 4413 Air Base Rd, Hermantown, MN 55811-1847 |
| Find all physicians in zip 55811 | |||
| City | DULUTH |
| Zip Code | 55811 |
| Specialty | OPTOMETRY |
| City + Specialty | DULUTH + OPTOMETRY |
Please comment or provide details below to improve the information on Jodi A Bergstrom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.