Mrs. Elizabeth Bergeron, LO
Technician/Technologist, Optician in Southington, Connecticut
1225486616- Practice location
- 235 Queen St, Southington, CT 06489-1915
- Phone
- 860-621-2310
- Fax
- 860-621-2336
- Last updated
- May 26, 2016
Elizabeth Bergeron is a Technician/Technologist, Optician based in Southington, CT. Elizabeth Bergeron practices in Southington, CT and has the professional credentials of LO. The NPI Number for Elizabeth Bergeron is 1225486616 and holds a License No. 001544 (CT). The current practice location address for Elizabeth Bergeron is 235 Queen St, Southington, CT 06489-1915 and can be reached out via phone at 860-621-2310 and via fax at 860-621-2336.
Provider Profile Details
- NPI Number
- 1225486616
- Provider Name
- Elizabeth Bergeron
- Credential
- LO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 235 Queen St, Southington, CT 06489-1915
- Phone Number
- 860-621-2310
- Fax Number
- 860-621-2336
- Primary Taxonomy
- Technician/Technologist, Optician · 156FX1800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 26, 2016
- Last Update Date
- May 26, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 235 Queen St
Southington, CT 06489-1915 - City
- Southington
- State
- Connecticut
- Zip
- 06489-1915
- Phone Number
- 860-621-2310
- Fax Number
- 860-621-2336
Provider Business Mailing Address Details
- Address
- 235 Queen St
Southington, CT 06489-1915 - City
- Southington
- State
- CT
- Zip
- 06489-1915
- Phone Number
- 860-621-2310
- Fax Number
- 860-621-2336
License Information
- License Number
- 001544
- License State
- CT
- Taxonomy
- Technician/Technologist, Optician · 156FX1800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Technician/Technologist, Opticians near Southington, CT
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- Mr. John KayTechnician/Technologist, Optician · NPI 1467800623
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Frequently Asked Questions
What is the NPI number of Mrs. Elizabeth Bergeron, LO?
The NPI number of Mrs. Elizabeth Bergeron, LO is 1225486616. It was assigned on May 26, 2016 and is currently active in the NPPES registry.
What is the specialty of Mrs. Elizabeth Bergeron, LO?
Mrs. Elizabeth Bergeron, LO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number 001544.
Where does Mrs. Elizabeth Bergeron, LO practice?
The practice location is 235 Queen St, Southington, CT 06489-1915. The office can be reached at 860-621-2310 (phone) or 860-621-2336 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225486616 directly on the NPPES registry website.