ROGER L. BERGERON, O.D.P.A.; NPI #1629249842

Contact Information

ROGER L. BERGERON, O.D.P.A.

585 MAIN ST
LEWISTON, ME 04240-5945

Phone: 207-784-0153
Fax: 207-786-6725
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 ROGER L. BERGERON, O.D.P.A.

NPI Number 1629249842

LBN Legal business name ROGER L. BERGERON, O.D.P.A.

Authorized official ROGER BERGERON - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/15/2008

Last updated 03/15/2008 - About 18 years ago

Identifiers

ME	Medicaid	114880099
ME	Other	410002654	RAIROAD MEDICARE

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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ROGER L. BERGERON, O.D.P.A.

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for ROGER L. BERGERON, O.D.P.A.

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