Heather M Bergerud Od

LBN: Heather M Bergerud Od Inc
Heather M Bergerud Od is an health care organization with primary practice located at 3745 Louisiana Ave S , St. Louis Park MN 55426. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Heather M Bergerud Od Inc can be contacted via phone (952) 922-4427, or through Bergerud, Heather Marie via phone (952) 403-1694.

Contact Information

Primary practice address
3745 Louisiana Ave S St. Louis Park MN 55426
Phone: (952) 922-4427
Fax: (952) 922-4761
Website:
Map and Directions
Authorized official contact:
Name: Bergerud, Heather Marie Doctor of Optometry (OD)
Phone: (952) 403-1694

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2621 Minnesota

Profile Details

NPI number 1497828842
LBN Legal business name Heather M Bergerud Od Inc
DBA Doing business as Heather M Bergerud Od
Authorized official Bergerud, Heather Marie Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497828842 NPPES
Minnesota Other 2201839 MEDICA
Minnesota Other 300J5BE MEDICA

Popular Providers