QUEEN ANNE EYE CLINIC
NPI 1124289897
Optometrist in Seattle, WA

Q: What is Eric Bergstrom Od, PLLC's NPI number?

The NPI number for Eric Bergstrom Od, PLLC is 1124289897. It was assigned to this organization in the NPPES registry on June 24, 2008. The provider is doing business as Queen Anne Eye Clinic and Eye Clinics of Seattle - Roosevelt.

Q: What is Eric Bergstrom Od, PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since June 24, 2008

20 BOSTON ST, SEATTLE, WA 98109(206) 282-8120(206) 282-8046 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Queen Anne Eye Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUEEN ANNE EYE CLINIC (NPI 1124289897) is a healthcare organization registered as an optometrist in Seattle, Washington and active in the NPI registry since June 2008. The organization maintains a secondary practice location in Seattle and lists Eric John Bergstrom, Owner, as its authorized official.

NPPES Registry Identity

NPI1124289897

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameERIC BERGSTROM OD, PLLC

Location Address20 BOSTON STSeattle, WA 98109-2319

Mailing Address20 Boston StSeattle, WA 98109-2319 · (206) 282-8120 · Fax (206) 282-8046

Phone(206) 282-8120

Fax(206) 282-8046

Organization SubpartNo

Authorized OfficialEric John BergstromOwner · (206) 282-8120

Enumeration DateJune 24, 2008

Last NPPES UpdateMay 8, 2023

NPPES CertifiedMay 8, 2023

✔ NPI 1124289897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in WA · 3645

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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

20 BOSTON ST, Seattle, WA 98109

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Other Names 2

Doing Business AsQueen Anne Eye Clinic

Doing Business AsEye Clinics Of Seattle - Roosevelt

Secondary Practice Location 1

Location 16618 Roosevelt Way NESeattle, WA 98115-6607 · Phone (206) 282-8120 · Fax (206) 282-8046

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUEEN ANNE EYE CLINIC

Optometrist