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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

STEPHEN JOHN BOURGAULT O.D.
NPI 1407849029
Optometrist in Fitchburg, MA

Active since August 30, 2005
61 FOX ST, FITCHBURG, MA 01420(978) 342-7147(978) 345-3567 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephen John Bourgault O.d. NPPES

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

STEPHEN JOHN BOURGAULT O.D. (NPI 1407849029) is an individual optometrist in Fitchburg, Massachusetts, licensed in Massachusetts (2887) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1407849029
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSTEPHEN JOHN BOURGAULTCredential: O.D.
Location Address61 FOX STFitchburg, MA 01420-3235
Mailing Address61 Fox StFitchburg, MA 01420-3235 · (978) 342-7147 · Fax (978) 345-3567
Phone(978) 342-7147
Fax(978) 345-3567
Sole ProprietorNo
Enumeration DateAugust 30, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1407849029 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 MA · 2887
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.
61 FOX ST, Fitchburg, MA 01420
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Other Identifiers 1

Medicaid9783814MA

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 Stephen Bourgault's NPI number?

The NPI number for Stephen Bourgault is 1407849029. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Stephen Bourgault located?

Stephen Bourgault practices at 61 Fox St, Fitchburg, MA 01420. The listed phone number is (978) 342-7147.

What is Stephen Bourgault'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 Stephen Bourgault was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.