Whalio Doctors

NPI 1003876921

Dennis G Bergin, OD

Practitioner Optometrist Kennesaw, GA

Practice location

Address
400 Barrett Pkwy STE 500 Sears Optical-Town Center Mall, Kennesaw, GA 30144-4997
Phone
(770) 424-5367
Fax
(678) 337-7933
Mailing address
228 Julia Lynn Lane, Acworth, GA 30102-8184

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence GA-1071-T (GA)

Registry record

NPI
1003876921
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Mar 2006
Record last updated
16 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.