Bergamo P.C. Dba Bergamo Vision

Primary specialty

OptometristTaxonomy code 152W00000X

License

2166 Issued in CO

Legal business name

BERGAMO P.C. DBA BERGAMO VISION

Practice address

11550 Ridgeline Dr Unit 106
Colorado Springs, CO 80921-3953

Phone

(719) 636-2020

Fax

(719) 327-2920

NPI assigned

Jun 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Bergamo, O.D.NPI 1306906771

Title

Owner/Optometrist

Phone

(719) 636-2020

Specialties & licenses 1

Addresses

Other names 1

• Bergamo Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

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.

• Nicole Bergamo, O.D.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1306906771
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1598294233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 RIDGELINE DR UNIT 106",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213953",
            "telephone_number": "719-636-2020",
            "fax_number": "719-354-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 RIDGELINE DR UNIT 106",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213953",
            "telephone_number": "719-636-2020",
            "fax_number": "719-327-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGAMO P.C. DBA BERGAMO VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "BERGAMO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "719-636-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergamo Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bergamo Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alisha Lynn Berg
• Brianna Berg
• Kerry Elizebeth Berg, DPM
• Krista Berg
• Michelle D Berg, PT, DPT
• Nicole Bergamo, O.D.
• Jassmine Bergemann
• Elinor Katheryn Berger, RN, CPNP
• Emily S Berger, MA, LPC, LAC
• Jared W Berger, MD

• Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.