Jeffery R Bourgerie is a Medford, Wisconsin based male Optometrist who is specialized in Optometry. Active license number of Jeffery R Bourgerie is 2228 for Optometry in Wisconsin. Jeffery R Bourgerie examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Jeffery R Bourgerie speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Male
Practice Address:
309 E Broadway Ave, Medford, Wisconsin, 54451-1835
Phone:
715-748-2020
Fax:
715-748-4565
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1164409348
NPI Enumeration Date:
28 Dec, 2005
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffery R Bourgerie are as mentioned below.
License Number
Specialization
State
Status
2228
Optometry
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeffery R Bourgerie such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38715300
Medicaid
Wisconsin
37815100
Medicaid
Wisconsin
39-1229699
Other
Wisconsin
FEDERAL TAX ID-MEDFORD
391229699015
Other
Wisconsin
BLUE CROSS BLUE SHIELD-ME
0474980001
Other
Wisconsin
DMERC-MEDFORD GROUP
10445
Other
Wisconsin
NVA-MEDFORD
410045063
Other
Wisconsin
RAILROAD MEDICARE-COLBY
1271670001
Other
Wisconsin
DMERC-COLBY GROUP
21143
Other
Wisconsin
SECURITY HEALTH PLAN-MEDF
2228
Other
Wisconsin
LICENSE NUMBER
39-1967186
Other
Wisconsin
FEDERALTAX ID-COLBY
38581200
Medicaid
Wisconsin
391967186091
Other
Wisconsin
BLUE CROSS BLUE SHIELD-CO
410015253
Other
Wisconsin
RAILROAD MEDICARE-MEDFORD
63857
Other
Wisconsin
SECURITY HEALTH PLAN-COLB
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
309 E Broadway Ave, P.o. Box 547 Medford, Wisconsin
Zip:
54451-1835
Phone Number:
715-748-2020
Fax Number:
715-748-4565
Patients can reach Jeffery R Bourgerie at 309 E Broadway Ave, Medford, Wisconsin or can call to book an appointment on 715-748-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.