NPI 1467514356 · live from the CMS NPI Registry
Roger L. Bergeron, O.D.
Optometrist in Lewiston, ME. National Provider Identifier 1467514356, active.
NPI record
| NPI | 1467514356 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 585 Main St, Lewiston, ME 04240 |
| Practice phone | 207-784-0153 |
| Enumerated | December 15, 2006 |
| Last updated | March 15, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT598 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.