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
Fax: (512) 218-4743
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568442846 NPPES
Texas Other 80773Q BLUE CROSS BLUE SHIELD

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