JEFFERY R BOURGERIE O.D.
NPI 1164409348
Optometrist in Medford, WI

Q: What is Jeffery Bourgerie's NPI number?

The NPI number for Jeffery Bourgerie is 1164409348. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Q: What is Jeffery Bourgerie's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffery Bourgerie was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 28, 2005

309 E BROADWAY AVE, MEDFORD, WI 54451(715) 748-2020(715) 748-4565 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeffery R Bourgerie O.d. NPPES

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

JEFFERY R BOURGERIE O.D. (NPI 1164409348) is an individual optometrist in Medford, Wisconsin, licensed in Wisconsin (2228) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1164409348

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJEFFERY R BOURGERIECredential: O.D.

Location Address309 E BROADWAY AVEMedford, WI 54451-1835

Mailing Address309 E Broadway Ave, P.o. Box 547Medford, WI 54451-1835 · (715) 748-2020 · Fax (715) 748-4565

Phone(715) 748-2020

Fax(715) 748-4565

Sole ProprietorNo

Enumeration DateDecember 28, 2005

Last NPPES UpdateMarch 7, 2023

✔ NPI 1164409348 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 WI · 2228

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.

309 E BROADWAY AVE, Medford, WI 54451

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Other Identifiers 15

Medicaid38715300WI

Medicaid37815100WI

Other39-1229699WI · Federal Tax Id-medford

Other391229699015WI · Blue Cross Blue Shield-me

Other0474980001WI · Dmerc-medford Group

Other10445WI · Nva-medford

Other410045063WI · Railroad Medicare-colby

Other1271670001WI · Dmerc-colby Group

Other21143WI · Security Health Plan-medf

Other2228WI · License Number

Other39-1967186WI · Federaltax Id-colby

Medicaid38581200WI

Other391967186091WI · Blue Cross Blue Shield-co

Other410015253WI · Railroad Medicare-medford

Other63857WI · Security Health Plan-colb

Other Providers at the Same Location NPPES 4

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

BEYOND 20-20 VISION THERAPY LLC

Optometrist

309 E BROADWAY AVE
MEDFORD, WI 54451

Taylor County (715) 748-2020

EYE CLINIC OF WISCONSIN, S.C.

Ophthalmology

309 E BROADWAY AVE
MEDFORD, WI 54451

Taylor County (715) 748-5775

PERRY A ARNDT O.D.

Optometrist

309 E BROADWAY AVE
MEDFORD, WI 54451

Taylor County (715) 748-2020

JULIE A THUMS O.D.

Optometrist

309 E BROADWAY AVE
MEDFORD, WI 54451

Taylor County (715) 748-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffery Bourgerie's NPI number?

The NPI number for Jeffery Bourgerie is 1164409348. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Jeffery Bourgerie located?

Jeffery Bourgerie practices at 309 E Broadway Ave, Medford, WI 54451. The listed phone number is (715) 748-2020.

What is Jeffery Bourgerie's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeffery Bourgerie was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.