Individual
DR. MICHELLE ANN BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
15340 WEIR ST, OMAHA, NE 68137-5005
(402) 932-9222
Mailing address
15340 WEIR ST, OMAHA, NE 68137-5005
(402) 932-9222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NE 1022
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025787500
—
NE
01
—
NA1426
MEDICARE PTAN
NE
Enumeration date
10/25/2006
Last updated
05/28/2015
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