Olivia Rose Bergeron-Oakes, OD
Optometrist in Phoenix, AZ. Individual provider (NPI-1).
NPI number1629891734
StatusActive
Last updated in NPPESNov 6, 2025
Details
- NPI
- 1629891734
- Entity type
- Individual (NPI-1)
- Name
- Olivia Rose Bergeron-Oakes
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2024
- Certification date
- Nov 6, 2025
- Last updated
- Nov 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2570 | SC | Yes |
| 152W00000X | Optometrist | OPT-002826 | AZ |
Practice location
9515 W Camelback Rd Ste 110Phoenix, AZ 85037-1365
Phone 623-937-1655
Mailing address
644 N Main St Bldg AGreenville, SC 29601-1678
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