BOGARDUS VISION CLINIC PC (NPI# 1780942342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780942342 |
| Entity Type | Organization |
| Organization Name | BOGARDUS VISION CLINIC PC |
| Practice Address |
2200 Sw 74th St Suite 102 Oklahoma City OK 73159-3928 |
| Practice Telephone | 4056814500 |
| Practice Fax Number | 4056810038 |
| Mailing Telephone | 4056814500 |
| Mailing Fax Number | 4056810038 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-06-04 |
| Authorized Official Name | DR. CARL ROBERT BOGARDUS (OWNER) |
| Authorized Official Telephone | 4056814500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1042 | OK | Eye and Vision Services Providers |
| Street Address |
2200 SW 74TH ST SUITE 102 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73159-3928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619984374 | Carl Robert Bogardus | Optometrist | 2200 Sw 74th St, Suite 102, Oklahoma City, OK 73159-3928 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1053959247 | Phillip J Elassal Dds Pllc | Clinic/Center | 1601 Sw 89th Street #g500, Oklahoma City, OK 73159 | 2019-12-18 |
| 1629573407 | Carrie Lynn Sanchez | Case Manager/Care Coordinator | 2604 Sw 92nd Street, Oklahoma City, OK 73159 | 2018-03-26 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1366969933 | Matthew Lewis Hearne | Case Manager/Care Coordinator | 7504 S Country Club Dr, Apt 105, Oklahoma City, OK 73159 | 2017-08-24 |
| 1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1235511288 | Anusha Koneru | Dentist | 1610 W Interstate 240 Service Road, Oklahoma City, OK 73159 | 2015-06-26 |
| 1114347069 | Crystal A Dockery | Family Medicine | 3212 Sw 89th St Ste 100, Oklahoma City, OK 73159 | 2014-04-18 |
| 1790121440 | Kimberly Anne Dyer | Occupational Therapy Assistant | 5725 S Ross, Oklahoma City, OK 73159 | 2013-05-21 |
| Find all providers in zip 73159 | ||||
| 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 |
|---|---|---|---|---|
| 1831799113 | Mel Vision LLC | Optometrist | 415 S Macarthur Blvd, Oklahoma City, OK 73128-1010 | 2020-10-27 |
| 1609475540 | Mel Vision LLC | Optometrist | 6310 N May Ave, Oklahoma City, OK 73112-4298 | 2020-10-21 |
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1861006918 | Haley Ruth Rasp Sparks | Optometrist | 8812 N Council Rd, Oklahoma City, OK 73132-3246 | 2020-09-06 |
| 1285252213 | Mid-del Vision Source Pllc | Optometrist | 1 Ne 2nd St Ste 104, Oklahoma City, OK 73104-2224 | 2020-07-07 |
| 1952948614 | Hero Vision of Okc Pllc | Optometrist | 4836 Nw 23rd St, Oklahoma City, OK 73127-1809 | 2019-12-02 |
| 1285149294 | Snowden Eye Care, Pllc | Optometrist | 7200 S Penn Ave Ste D, Oklahoma City, OK 73159-3336 | 2017-12-13 |
| 1215466123 | Vantage Vision Care PC | Optometrist | 1901 Nw Expressway Ste 2058, Oklahoma City, OK 73118-9229 | 2017-06-06 |
| 1609322809 | Jai Sia Ram PC | Optometrist | 10740 South May Avenue, Suite 115, Oklahoma City, OK 73170 | 2016-08-28 |
| 1346693769 | Pritesh Patel | Optometrist | 10740 S. May Ave, Suite 115, Oklahoma City, OK 73170-5152 | 2016-07-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73159 |
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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.