Stevenson Family Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

3314 Issued in WA

Legal business name

STEVENSON FAMILY EYE CARE

Practice address

136 NW 2ND St
Stevenson, WA 98648-4225

Phone

(509) 427-2020

Fax

(509) 427-8268

NPI assigned

Aug 2, 2013

Last updated

Aug 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony W. Bergstrom, O.D.NPI 1306917356

Title

President

Phone

(509) 427-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony W Bergstrom, O. D.

  • Optometrist
  • Stevenson, WA
  • NPI 1306917356
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1548692437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "STEVENSON",
            "state": "WA",
            "postal_code": "986480378",
            "telephone_number": "509-427-2020",
            "fax_number": "509-427-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 NW 2ND ST",
            "city": "STEVENSON",
            "state": "WA",
            "postal_code": "986484225",
            "telephone_number": "509-427-2020",
            "fax_number": "509-427-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVENSON FAMILY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "BERGSTROM",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-427-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022325",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skamania Chiropractic and Rehabilitation PLLC
• Skamania County Hospital District (Skamania County EMS)
• Skamania Physical Therapy
• Skamania Physical Therapy
• Patricia Ann Stevens, LMT, DOULA BIRTH
• Stevenson-Carson School District
• Erin Kristine Swayze, LMP
• Julee Vanderdasson, LPN
• Susie A Veley, LMP. NCTMB
• Viriditas Naturopathic Medicine, PLLC

• Optometrist in Stevenson, WA
• Providers in Stevenson, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.