DR. Theodore E Bogart, O.D.
NPI #1609950401 in Shelbyville, Illinois
Provider Information
- NPI Number
- 1609950401
- Entity Type
- Individual
- Name
- DR. Theodore E Bogart, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Dec 19, 2012
Practice Location
- Address
- WEST ROUTE 16
- City
- Shelbyville
- State
- Illinois
- ZIP Code
- 62565-0199
- Phone
- (217) 774-4422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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| Provider Name | |
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| Caitlin Gaughan, OD | |
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Organizations
| Provider Name | |
|---|---|
| Eye Care Associates of Il | |
| Mid-State Eye Partners INC |
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