Individual
DR. KIM LEE BERGERON-DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
110 HOPMEADOW ST, SUITE 100, WEATOGUE, CT 06089-9407
(860) 658-1704
(860) 651-9966
Mailing address
237 MEYER RD, TORRINGTON, CT 06790-2806
(860) 489-4212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2596
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090002596CT04
BLUE CROSS/BLUE SHIELD
CT
01
—
1811978
UNITED HEALTHCARE
CT
01
—
259600
CONNECTICARE
CT
01
—
2V5840
HEALTHNET
CT
01
—
5799268
CIGNA
CT
01
—
9431179
PHCS
CT
01
—
CT2596
EYEMED
CT
Enumeration date
10/19/2006
Last updated
07/08/2007
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