BERGSTROM FAMILY EYECARE P S; NPI #1184795684

Contact Information

BERGSTROM FAMILY EYECARE P S

950 E JEWETT BLVD.
WHITE SALMON, WA 98672

Phone: 509-493-2020
Fax: 509-493-2023
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for BERGSTROM FAMILY EYECARE P S

NPI Number 1184795684

LBN Legal business name BERGSTROM FAMILY EYECARE P S

Authorized official ALEXANDER BALDWIN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/13/2006

Last updated 06/09/2022 - About 4 years ago

Identifiers

WA	License #	600024606
WA	Medicaid	2215309

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BERGSTROM FAMILY EYECARE P S

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for BERGSTROM FAMILY EYECARE P S

Reviews for BERGSTROM FAMILY EYECARE P S