Individual
JODI ANN BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
416 SUPERIOR AVENUE, CENTURIA, WI 54824
(715) 646-1336
Mailing address
416 SUPERIOR AVENUE, PO BOX 400, CENTURIA, WI 54824
(715) 646-1336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1643
NE
152W00000X
Optometrist
2231
MN
152W00000X
Optometrist
Primary
2281
WI
152W00000X
Optometrist
3054
MD
152W00000X
Optometrist
4901005835
MI
152W00000X
Optometrist
TPOP218
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38594500
—
WI
Enumeration date
01/10/2007
Last updated
12/12/2024
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