Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Olivia Rose Bergeron-Oakes, OD

Individual provider Optometrist · NPI 1629891734

Olivia Rose Bergeron-Oakes, OD is an Optometry in Phoenix, Arizona. Practices with Aeg South Carolina Professional PC, a 16-clinician group and accepts Medicare assignment. Licensed in Arizona and South Carolina.

Licensed in
AZ, SC
In the registry since
2024
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

9515 W Camelback Rd Ste 110
Phoenix, AZ 85037-1365
Phone: (623) 937-1655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2570 (SC)
Optometrist Taxonomy 152W00000X · Licence OPT-002826 (AZ)

Record details

NPI number1629891734
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 6, 2024
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Group practice Aeg South Carolina Professional Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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