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Contact Information

ANTHONY W BERGSTROM, O. D.
136 NW 2ND ST
STEVENSON, WA98648-4225
 Phone: 509-427-2020
 Fax: 509-427-8268
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ANTHONY W BERGSTROM · (Male)

NPI Number 1306917356
Status Active
Credentials O. D.
Entity Individual
Enumeration date 11/13/2006
Last updated 08/02/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OD00003314
  • WA Medicaid 2022325
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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