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Active NPI 1568511095 Individual Practitioner Female Practitioner

Dr. Jodi Ann Bergstrom , OD

Optometrist • Centuria, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jodi Bergstrom, OD is a certified Optometrist practicing in Centuria, WI. With approximately 10 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 2016, Dr. Bergstrom delivers high-quality medical care to the local community at 416 SUPERIOR AVENUE.

Dr. Bergstrom maintains professional affiliations with The Lakes Community Health Center Inc, Visionworks Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

416 Superior Avenue

Centuria, WI 54824

Telephone 7156461336
Associated Practice Facility / Clinic
🏢 Valley View Vision Sc Facility NPI 1538296363

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Centuria, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs Matches City Avg
City Avg: 10.0 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Centuria, WI (1196 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bergstrom (10 Years) 10 Yrs
Centuria Specialty Average (10.0 Years) 10.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
14 14 $88.40 $66.86

Medical Specialties & State Licenses

CMS Verified: 2024-12-12
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WI 2281

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License MD 3054

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License MN 2231

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License NE 1643

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License MI 4901005835

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License FL TPOP218

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
38594500 (WI)

Hospital & Practice Group Affiliations

Visionworks Inc

631 N Frederick Ave, Gaithersburg, MD 208793306

Phone: 3013304972

Visionworks Inc

11340 N Port Washington Rd, Mequon, WI 530923412

Phone: 2622400455

Visionworks Inc

1960 Market Dr, Stillwater, MN 550827504

Phone: 6514393049

The Lakes Community Health Center Inc

7665 Us Hwy 2, Iron River, WI 548474690

Phone: 7153725001

Visionworks Inc

7505 Towne Ctr Pkwy, Papillion, NE 680462140

Phone: 4023392481

Visionworks Inc

11110 Mall Cir, Waldorf, MD 206031800

Phone: 3017058383

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2024

Optometrist (License #3054 in MD)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2024

Optometrist (License #1643 in NE)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 416 SUPERIOR AVENUE, CENTURIA, WI 54824 (Tel: 7156461336)

📍
Updated Business Mailing Address July 08, 2007

Registered at 416 SUPERIOR AVENUE, PO BOX 400, CENTURIA, WI 54824 (Tel: 7156461336)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JODI BERGSTROM, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #2281 in WI)

🟢
Initial NPI Registration & Enumeration January 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568511095
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2007
Last Update: December 12, 2024
Sole Proprietor: No

Mailing Address

416 Superior Avenue, Po Box 400

Centuria, WI 54824

Phone: 7156461336

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.