Active NPIIndividual providerSole proprietor

Dr. Kim L Bergeron-Duncan, OD

Optometrist in Weatogue, Connecticut

NPI Number1659453959
Practice location
110 Hopmeadow St, Suite 100, Weatogue, CT 06089-9407
Fax
860-651-9966
Last updated
July 8, 2007

Kim Lee Bergeron-Duncan is an Optometrist based in Weatogue, CT. Kim Lee Bergeron-Duncan practices in Weatogue, CT and has the professional credentials of OD. The NPI Number for Kim Lee Bergeron-Duncan is 1659453959 and holds a License No. 2596 (CT). The current practice location address for Kim Lee Bergeron-Duncan is 110 Hopmeadow St, Suite 100, Weatogue, CT 06089-9407 and can be reached out via phone at 860-658-1704 and via fax at 860-651-9966.

Provider Profile Details

NPI Number
1659453959
Provider Name
Kim Lee Bergeron-Duncan
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
110 Hopmeadow St, Suite 100, Weatogue, CT 06089-9407
Phone Number
860-658-1704
Fax Number
860-651-9966
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Other Names
Dr. Kim Lee Bergeron, OD (Professional Name)
Provider Enumeration Date
October 19, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Hopmeadow St
Suite 100
Weatogue, CT 06089-9407
Zip
06089-9407
Phone Number
860-658-1704
Fax Number
860-651-9966
Weatogue, CT 06089Get directions →

Provider Business Mailing Address Details

Address
237 Meyer RD
Torrington, CT 06790-2806
City
Torrington
State
CT
Zip
06790-2806
Phone Number
860-489-4212

License Information

License Number
2596
License State
CT
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 Dr. Kim L Bergeron-Duncan, OD?

The NPI number of Dr. Kim L Bergeron-Duncan, OD is 1659453959. It was assigned on October 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kim L Bergeron-Duncan, OD?

Dr. Kim L Bergeron-Duncan, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 2596.

Where does Dr. Kim L Bergeron-Duncan, OD practice?

The practice location is 110 Hopmeadow St, Suite 100, Weatogue, CT 06089-9407. The office can be reached at 860-658-1704 (phone) or 860-651-9966 (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 1659453959 directly on the NPPES registry website.

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