DR. MICHAEL SCOTT BOGAARD (NPI# 1083607535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083607535 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SCOTT BOGAARD |
| Credential | O.D. |
| Practice Address |
2900 Doolittle Dr Ellsworth Afb SD 57706-4821 |
| Practice Telephone | 6053853281 |
| Practice Fax Number | 6053852424 |
| Mailing Telephone | 6053853281 |
| Mailing Fax Number | 6053852424 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2007-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2207 | CO | Eye and Vision Services Providers |
| Street Address |
2900 DOOLITTLE DR |
| City | ELLSWORTH AFB |
| State | SD |
| Zip Code | 57706-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023648128 | Sereirath Som Hart | Social Worker | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2020-01-17 |
| 1811459662 | Anthony David Delcorral | Dentist | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2019-04-02 |
| 1942766746 | Joseph Minette Stanfill | Social Worker | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2019-02-16 |
| 1275016214 | Elizabeth Gunnell | Counselor | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2018-09-14 |
| 1760989933 | Jeffrey Moran | Pharmacist | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2018-04-12 |
| 1851898191 | Stephen Beals | Pharmacist | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2018-04-12 |
| 1205330651 | Ariel Hough | Dentist | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2018-03-21 |
| 1629576491 | Mario Luis Recupido IIi | Military Health Care Provider | 2900 Doolittle Dr, Ellsworth Afb, SD 57706 | 2018-01-26 |
| 1205342664 | Sheila Renee Johnson | Social Worker | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2017-12-21 |
| 1104337450 | Michael J Vadovsky | Physician Assistant | 2900 Doolittle Dr, Ellsworth Afb, SD 57706 | 2017-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801307202 | Patrick David Jones | Physician Assistant | 28th Mdg/sggp, 2900 Doolittle Dr., Ellsworth Afb, SD 57706 | 2017-10-12 |
| 1770736522 | Amy Marie Kubal | Dietitian, Registered | 2450 Risner Drive, Ellsworth Air Force Base Health and Wellness Center, Ellsworth Afb, SD 57706 | 2008-10-24 |
| 1275057754 | Adrianne Rae Littles | Military Health Care Provider | 2900 Doolittle Drive, Ellsworth Afb, SD 57706 | 2017-07-27 |
| 1467501874 | Tasha Dee Standing Soldier | Pharmacist | 2900 Doolittle Drive, 28th Medical Group, Ellsworth Afb, SD 57706 | 2007-01-09 |
| 1326286899 | Michelle Andaya Ziegler | Physical Therapist | 532 Tallent Ct, Ellsworth Afb, SD 57706-1717 | 2009-01-21 |
| 1528330081 | Marryanne Allen | Nurse Practitioner | 105 Red Cloud Ct, Ellsworth Afb, SD 57706-1724 | 2012-01-30 |
| 1710201553 | Ivan Vicente | Military Health Care Provider | 433 Black Elk Ct, Ellsworth Afb, SD 57706-1847 | 2010-03-23 |
| 1831539642 | Brendan Robert Cleary | Pediatrics | 28th Medical Group, Ellsworth Afb, 6000 Doolittle Drive, Rapid City, SD 57706-1873 | 2013-06-26 |
| 1922094671 | Scott Anthony Jones | Physical Therapist | 2450 Risner Dr, Ellsworth Afb, SD 57706-4704 | 2005-09-27 |
| 1174703144 | Michelle Renaee Haleck | Dietitian, Registered | 2450 Risner Dr, Ellsworth Air Force Base, Ellsworth Afb, SD 57706-4704 | 2007-11-07 |
| Find all providers in zip 57706 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992154298 | Kimberly Joy Woideck | Optometrist | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2016-06-07 |
| 1730555061 | Marc Musto | Optometrist | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2015-08-20 |
| 1841263977 | Randy Carl Oliver | Optometrist | 2900 Doolittle Dr, Ellsworth Afb, SD 57706-4821 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342515 | Vision Source Rapid City | Optometrist | 825 Columbus St Ste E, Rapid City, SD 57701-4804 | 2020-10-01 |
| 1588279376 | Dakota Vision Center, LLC | Optometrist | 1100 S Highline Pl, Sioux Falls, SD 57110-1001 | 2020-09-09 |
| 1003305772 | Sivesind, Tims & Clarke, Prof. L.L.C. | Optometrist | 2210 W 69th St Ste 160, Sioux Falls, SD 57108-5614 | 2018-05-08 |
| 1538673579 | Robert B Wilson PC | Optometrist | 1200 N Lacrosse St Ste 105, Rapid City, SD 57701-6984 | 2017-11-29 |
| 1730548975 | Wyatt Nash-keller Od Prof LLC | Optometrist | 960 22nd Ave S, Brookings, SD 57006-2830 | 2016-02-16 |
| 1174906705 | Jerika Kirwan | Optometrist | 720 West Hwy 46, Wagner, SD 57380 | 2015-07-01 |
| 1437566189 | Kjk Vision LLC | Optometrist | 5824 W Pineridge Dr, Sioux Falls, SD 57107-0960 | 2014-07-15 |
| 1447664800 | Spearfish Vision Works, P.C. | Optometrist | 1432 Mill St, Belle Fourche, SD 57717-2304 | 2014-06-13 |
| 1487076196 | 20/20 Eye Care, P.C. | Optometrist | 2210 W 69th St, Suite 160, Sioux Falls, SD 57108-5602 | 2014-01-15 |
| 1528494887 | Rlf Optometry LLC | Optometrist | 3700 S Grange, Sioux Falls, SD 57105 | 2013-09-18 |
| Find all providers with the same taxonomy | ||||
| City | ELLSWORTH AFB |
| Zip Code | 57706 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.