Eric Bergstrom OD, PLLC
NPI 1124289897 · Optometrist · Seattle, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eric Bergstrom OD, PLLC is a Optometrist organization in Seattle, WA (NPI 1124289897).
Provider details
- NPI number
- 1124289897
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Eric Bergstrom, Owner(206) 282-8120
- License
- 3645 (WA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Eye Clinics of Seattle - Roosevelt
- Doing business as
- Queen Anne Eye Clinic
- Doing business as
- Queen Anne Eye Clinic
Additional practice locations (1)
- 6618 Roosevelt Way NeSeattle, WA 98115-6607Phone: (206) 282-8120Fax: (206) 282-8046
Registry dates
- Enumerated
- 2008-06-24
- Last updated
- 2023-05-08
- Certified
- 2023-05-08
Frequently asked questions
- What is Eric Bergstrom OD, PLLC's NPI number?
- Eric Bergstrom OD, PLLC's National Provider Identifier (NPI) is 1124289897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eric Bergstrom OD, PLLC?
- Eric Bergstrom OD, PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Eric Bergstrom OD, PLLC located?
- Eric Bergstrom OD, PLLC's practice location on file with NPPES is 20 Boston St, Seattle, WA 98109-2319.
- What is Eric Bergstrom OD, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Eric Bergstrom OD, PLLC is (206) 282-8120.
- Does Eric Bergstrom OD, PLLC accept Medicare?
- Eric Bergstrom OD, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eric Bergstrom OD, PLLC?
- The authorized official listed on Eric Bergstrom OD, PLLC's NPPES record is Eric Bergstrom, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eric Bergstrom OD, PLLC's NPI active?
- Yes — Eric Bergstrom OD, PLLC's NPI (1124289897) is active in the NPPES registry as of the last update on 2023-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.