Dr. Jamie Lee Bergmark, OD

Optometrist in San Diego, CA. Individual provider (NPI-1).

NPI number1669920757

StatusActive

Last updated in NPPESJan 24, 2023

Details

NPI: 1669920757
Entity type: Individual (NPI-1)
Name: Dr. Jamie Lee Bergmark
Credential: OD
Sex: Female
Sole proprietor: No
Enumeration date: Sep 16, 2016
Certification date: Jan 24, 2023
Last updated: Jan 24, 2023

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - OPTOMETRY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	OPT33657-TLG	CA	Yes

Practice location

7910 Frost St Ste 200
San Diego, CA 92123-2776

Phone 858-966-7702

Mailing address

3020 Childrens Way # Mc5003
San Diego, CA 92123-4223

Phone 858-309-6300

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in San Diego, CA

All 469 Optometrist providers in San Diego · All 61,118 providers in San Diego

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check