Judson J Bergan is a Optometrist in Madison, South Dakota. Judson J Bergan practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Judson J Bergan is 1710976378. The last update date is 2012-10-22.
Judson J Bergan's current location address is Po Box 58, Madison, South Dakota. You can contact this provider via phone number 6052562020 and fax number 6052563597. The mailing address for Judson J Bergan is Po Box 58, Madison, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judson J Bergan |
|---|---|
| Address | Po Box 58, Madison, South Dakota |
| Phone Number | 6052562020 |
| Fax Number | 6052563597 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1710976378 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2012-10-22 |
Provider Mailing Address Detail
| Address | Po Box 58 |
|---|---|
| City | Madison |
| State | South Dakota (SD) |
| Post Code | 570420058 |
| Phone Number | 6052562020 |
| Fax Number | 6052563597 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 126 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9201230 | SD | -- | |
| 70102 | SD | WELLMARK BLUE CROSS & BLUE SHI |
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What is the unique 10-digit identifier code issued to Judson J Bergan by the Centers for Medicare & Medicaid Services?
The Judson J Bergan has been assigned the NPI (National Provider Identifier) 1710976378 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Judson J Bergan is located?
The Judson J Bergan is situated at the following address: Po Box 58, Madison, SD, 570420058.
What is Judson J Bergan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Judson J Bergan is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did Judson J Bergan receive its 1710976378 assignment from the Centers for Medicare & Medicaid Services?
The Judson J Bergan was assigned its 1710976378 on 2005-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Judson J Bergan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Judson J Bergan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-22.
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