Eric Bergstrom Od, PLLC
NPI 1124289897ActiveOrganization· Optometrist· Seattle, WA
Optometrist in Seattle, Washington, registered in NPPES in June 2008. The authorized official on file is Eric John Bergstrom, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124289897 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2008 |
| Last updated in NPPES | May 8, 2023 |
| Certified by provider | May 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3645 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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