Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHEN JOHN BOURGAULT, O.D.

Active

STEPHEN JOHN BOURGAULT, O.D. is a Optometrist healthcare provider located in FITCHBURG, Massachusetts. NPI 1407849029 is currently active in the NPPES registry. Verify at CMS.

Optometrist · FITCHBURG, MA

Registration Details

NPI Number: 1407849029
Provider Type: Individual
Gender: Male
NPI Issued: Aug 30, 2005 (20.932908596621 yrs)
Last Updated: Jul 8, 2007
License: 2887 (MA)

Practice Information

Address: 61 FOX ST

FITCHBURG, MA, 014203235
Browse MA providers · Browse ZIP 01420
Phone: 9783427147
Fax: 9783453567
Primary Specialty: Optometrist
152W00000X

Other Optometrist Providers in FITCHBURG, MA

Name	Credential	NPI
DR. NELL RAE NAIDETH	OD	1154324309
DR. DAVID E BARON	OD	1669474565
ANDREA LYNN CARR	O.D	1487675955
DONALD HENRY CZELUSNIAK	OD	1720181266
DR. ZANE FREDERICK DUBOUR	O.D.,M.S.	1821180571
LAURA OKALANI MILNER	O.D.	1386791663

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.