Dennis G Bergin
Optometrist
400 Barrett Pkwy Ste 500 Sears Optical-Town Center Mall
Kennesaw
, Georgia 30144-4997
Dennis G Bergin
Optometrist
400 Barrett Pkwy Ste 500 Sears Optical-Town Center Mall
Kennesaw
, Georgia 30144-4997
(678) 337-7933
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dennis G Bergin
- 228 Julia Lynn Lane
- Acworth, GA
- Zip : 30102-8184
- Fax : (678) 337-7933
- Phone : (770) 424-5367
Second Address
- Dennis G Bergin
- 400 Barrett Pkwy Ste 500 Sears Optical-Town Center Mall
- Kennesaw, GA
- Zip : 30144-4997
- Fax : (678) 337-7933
- Phone : (770) 424-5367
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | GA-1071-T | GA |
National Provider Identifier
| NPI | 1003876921 |
|---|---|
| Provider Name | Dennis G Bergin |
| First Address | Acworth, GA 30102-8184 |
| Second Address | Kennesaw, GA 30144-4997 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2006 |
| Last Update Date | 16/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 843143605A | (05) | GA |
| U-17568 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.