Bergeron, Marc George
Bergeron, Marc George is an individual health care provider with primary practice located at 408 N Mays St , Round Rock TX 78664-4317. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Bergeron, Marc George can be contacted via phone (512) 244-2003.Contact Information
Primary practice address
408 N Mays St
Round Rock TX 78664-4317
Phone: (512) 244-2003
Fax: (512) 218-4743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2584T | Texas |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 2584T | Texas |
Profile Details
| NPI number | 1568442846 |
|---|---|
| LBN Legal business name | Bergeron, Marc George |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568442846 | NPPES |
| Texas | Other | 80773Q | BLUE CROSS BLUE SHIELD |
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