Individual
DR. MARC GEORGE BERGERON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
408 N MAYS ST, ROUND ROCK, TX 78664-4317
(512) 244-2003
(512) 218-4743
Mailing address
408 N MAYS ST, ROUND ROCK, TX 78664-4317
(512) 244-2003
(512) 218-4743
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2584T
TX
152WV0400X
Vision Therapy Optometrist
Primary
2584T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80773Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/20/2006
Last updated
09/11/2025
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