Individual provider Active NPI

Zefanne P Bergado, OD

  • Optometrist
  • New Castle, DE
National Provider Identifier
1093369969
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I4-0000102 Issued in DE
Practice address
169 Christiana Rd
New Castle, DE 19720-3040
Phone
(302) 322-4444
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I4-0000102 DE Primary

Addresses

Primary practice location

169 Christiana Rd
New Castle, DE 19720-3040

Mailing address

169 Christiana Rd
New Castle, DE 19720-3040
Phone (302) 322-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191230001589 DE Practitioner - Optometry 6901230937 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Delaware PA Optometrist Current Accepting new patients
Simon Eye Associates PA Optometrist CurrentSince Jul 15, 2024 Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist CurrentSince Nov 5, 2019 Accepting new patients
Good Eyecare, LLC Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist CurrentSince Nov 5, 2019 Accepting new patients

Locations

885 S Governors Ave
Dover, DE 19904
Phone (302) 734-5861

223 E Main St
Middletown, DE 19709
Phone (302) 376-1900

169 Christiana Rd
New Castle, DE 19720
Phone (302) 322-4444

912 N Union St
Wilmington, DE 19805
Phone (302) 655-8180

2000 Pennsylvania Ave
Unit 107
Wilmington, DE 19806

5301 Limestone Rd
Ste 128
Wilmington, DE 19808

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simon Eye Associates PA 35 clinicians

Practice addresses (Care Compare)

2000 Pennsylvania Ave
Suite 107
Wilmington, DE 19806-2450
Phone (302) 239-1933

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1093369969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 CHRISTIANA RD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197203040",
            "telephone_number": "302-322-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 CHRISTIANA RD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197203040",
            "telephone_number": "302-322-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGADO",
        "first_name": "ZEFANNE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I4-0000102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

Verify at the official NPI Registry.