DR. THEODORE E BOGART (NPI# 1609950401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609950401 |
| Entity Type | Individual |
| Full Name | DR. THEODORE E BOGART |
| Credential | O.D. |
| Practice Address |
West Route 16 Shelbyville IL 62565-0199 |
| Mailing Address |
Po Box 199 Shelbyville IL 62565-0199 |
| Practice Telephone | 2177744422 |
| Practice Fax Number | 2177744722 |
| Mailing Telephone | 2177744422 |
| Mailing Fax Number | 2177744722 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046007165 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 046007165 | 05 |
| Street Address |
WEST ROUTE 16 |
| City | SHELBYVILLE |
| State | IL |
| Zip Code | 62565-0199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003463530 | Ethan Turner | Physical Therapist | 2100 W. South 3rd, Shelbyville, IL 62565 | 2019-08-20 |
| 1467963512 | Marnelle Kathryn Oligschlaeger | Speech-Language Pathologist | 1101 Wn 6th St, Shelbyville, IL 62565 | 2017-10-17 |
| 1326290214 | Brown Dental Care Ltd | Dentist | 101 W N 1st, Shelbyvile, IL 62565 | 2008-10-22 |
| 1639396898 | Aaron Bryce Snyder | Chiropractor | 504 Rt. 128, Shelbyville, IL 62565 | 2007-04-19 |
| 1710042833 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2607 W Main St, Shelbyville, IL 62565 | 2006-12-27 |
| 1891856126 | Jamie Dawn Jefson | Pharmacist | 1603 W. Main Street, Shelbyville, IL 62565 | 2006-12-12 |
| 1790875805 | Brian L Hastings | Dentist | 101 S Vine, Suite 2, Shelbyville, IL 62565 | 2006-10-13 |
| 1598852345 | Dennis Fisher | Massage Therapist | 112 North Broadway Street, Shelbyville, IL 62565 | 2006-10-05 |
| 1255434866 | Katherine Lynn Harley | Chiropractor | 1117 W North First St, Shelbyville, IL 62565 | 2006-09-07 |
| 1013029933 | Renal Therapies LLC | Clinic/Center | 410 S. Heinlein Dr., Shelbyville, IL 62565 | 2006-08-31 |
| Find all providers in zip 62565 | ||||
| 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 |
|---|---|---|---|---|
| 1386113413 | Eye Care Center Associates Pa | Optometrist | 301 Colloredo Blvd Ste C, Shelbyville, TN 37160-2839 | 2018-11-19 |
| 1487005484 | Mid-state Eye Partners Inc | Optometrist | 102 N Heinlein Dr, Shelbyville, IL 62565-9050 | 2016-06-30 |
| 1639227697 | Louisville Optometric Centers, IIi Psc | Optometrist | 162 Midland Blvd, Shelbyville, KY 40065-9734 | 2007-01-08 |
| 1952490336 | Gary A Borchert | Optometrist | 273 W Broadway St, Shelbyville, IN 46176-1101 | 2006-10-12 |
| 1881701720 | Robert Lynn Johnson | Optometrist | 919 Spring Hill Rd, Shelbyville, IN 46176-2759 | 2006-08-24 |
| 1508893348 | Kelly A Sanderson | Optometrist | 915 Colloredo Blvd, Shelbyville, TN 37160-2780 | 2006-06-27 |
| 1013972405 | Daniel Mark Bowersox | Optometrist | 403 Washington St, Shelbyville, KY 40065-1127 | 2006-04-19 |
| 1629050885 | Katherine Rebecca Garringer | Optometrist | 441 Amos Rd, Shelbyville, IN 46176-2245 | 2005-11-15 |
| 1619966728 | City Optical Co Inc | Optometrist | 1634 E State Rd 44, Shelbyville, IN 46614-1844 | 2005-10-20 |
| 1669467189 | Joseph T Marcin Jr. | Optometrist | 1401 W Main St, Shelbyville, IL 62565-1256 | 2005-09-12 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 62565 |
Please comment or provide details below to improve the information on DR. THEODORE E BOGART.
| 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.