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Contact Information

ERIC J BERGSTROM, OD
20 BOSTON ST
SEATTLE, WA98109
 Phone: 206-282-8120
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ERIC J BERGSTROM · (Male)

NPI # 1588687040
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/25/2006
Last updated 12/20/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 3645
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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