OrganizationActive
Eric Bergstrom OD, PLLC
NPI 1124289897 · Optometrist · Seattle, WA
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
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
20 Boston St
Seattle, WA 98109-2319
Phone: (206) 282-8120
Fax: (206) 282-8046
Street-level locationGet directions
Mailing address
20 Boston St
Seattle, WA 98109-2319
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.