Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE E BOGART, O.D.
Active Sole ProprietorDR. THEODORE E BOGART, O.D. is a Optometrist healthcare provider located in SHELBYVILLE, Illinois. NPI 1609950401 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SHELBYVILLE, IL
Registration Details
- NPI Number
- 1609950401
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2006 (19.791967443823 yrs)
- Last Updated
- Dec 19, 2012
- License
-
046007165 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
WEST ROUTE 16SHELBYVILLE, IL, 625650199Browse IL providers · Browse ZIP 62565
- Phone
- 2177744422
- Fax
- 2177744722
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SHELBYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| JOSEPH T MARCIN JR. | — | 1669467189 |
| CAITLIN GAUGHAN | OD | 1437757473 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.