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
ZIP Code
62565-0199
Phone
(217) 774-4422

Specialties & Taxonomy Codes

Specialty
Optometrist

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