Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JODI ANN BERGSTROM, O.D.
ActiveJODI ANN BERGSTROM, O.D. is a Optometrist healthcare provider located in CENTURIA, Wisconsin. NPI 1568511095 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CENTURIA, WI
Registration Details
- NPI Number
- 1568511095
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2007 (19.562895654475 yrs)
- Last Updated
- Dec 12, 2024
- Licenses
-
3054 (MD)2281 (WI)2231 (MN)1643 (NE)4901005835 (MI)
Practice Information
- Address
-
416 SUPERIOR AVENUECENTURIA, WI, 54824Browse WI providers · Browse ZIP 54824
- Phone
- 7156461336
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
- Additional Specialty
- Optometrist
- Additional Specialty
- Optometrist
- Additional Specialty
- Optometrist
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.