Provider Demographics
NPI:1780650564
Name:BERGSCHNEIDER, CATHERINE A (OD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:A
Last Name:BERGSCHNEIDER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:ALLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:15 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3708
Mailing Address - Country:US
Mailing Address - Phone:978-475-5252
Mailing Address - Fax:978-475-2226
Practice Address - Street 1:15 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3708
Practice Address - Country:US
Practice Address - Phone:978-475-5252
Practice Address - Fax:978-475-2226
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4287152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
610461OtherVISION CARE PLAN
MAW16309OtherBLUECROSSBLUESHIELD
MA274990OtherCIGNA
MA153229OtherHARVARD PILGRIM
MA461355OtherTUFTS HEALTH PLAN
MA610461OtherCOMPBENEFITS
MA461355OtherTUFTS HEALTH PLAN
610461OtherVISION CARE PLAN
MAU89688Medicare UPIN