Active NPIIndividual provider

Stephen J Bourgault, OD

Optometrist in Fitchburg, Massachusetts

NPI Number1407849029
Practice location
61 Fox St, Fitchburg, MA 01420-3235
Fax
978-345-3567
Last updated
July 13, 2026

Stephen John Bourgault is an Optometrist based in Fitchburg, MA. Stephen John Bourgault practices in Fitchburg, MA and has the professional credentials of OD. The NPI Number for Stephen John Bourgault is 1407849029 and holds a License No. 2887 (MA). The current practice location address for Stephen John Bourgault is 61 Fox St, Fitchburg, MA 01420-3235 and can be reached out via phone at 978-342-7147 and via fax at 978-345-3567.

Provider Profile Details

NPI Number
1407849029
Provider Name
Stephen John Bourgault
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
61 Fox St, Fitchburg, MA 01420-3235
Phone Number
978-342-7147
Fax Number
978-345-3567
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
August 30, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
61 Fox St
Fitchburg, MA 01420-3235
Zip
01420-3235
Phone Number
978-342-7147
Fax Number
978-345-3567
Fitchburg, MA 01420Get directions →

Provider Business Mailing Address Details

Address
61 Fox St
Fitchburg, MA 01420-3235
City
Fitchburg
State
MA
Zip
01420-3235
Phone Number
978-342-7147
Fax Number
978-345-3567

License Information

License Number
2887
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stephen J Bourgault, OD?

The NPI number of Stephen J Bourgault, OD is 1407849029. It was assigned on August 30, 2005 and is currently active in the NPPES registry.

What is the specialty of Stephen J Bourgault, OD?

Stephen J Bourgault, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 2887.

Where does Stephen J Bourgault, OD practice?

The practice location is 61 Fox St, Fitchburg, MA 01420-3235. The office can be reached at 978-342-7147 (phone) or 978-345-3567 (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 1407849029 directly on the NPPES registry website.

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