Dr Theodore E Bogart, OD | |
West Route 16, Shelbyville, IL 62565-0199 | |
(217) 774-4422 | |
(217) 774-4722 |
Full Name | Dr Theodore E Bogart |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | West Route 16, Shelbyville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609950401 | NPI | - | NPPES |
046007165 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046007165 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Theodore E Bogart, OD Po Box 199, Shelbyville, IL 62565-0199 Ph: (217) 774-4422 | Dr Theodore E Bogart, OD West Route 16, Shelbyville, IL 62565-0199 Ph: (217) 774-4422 |
Caitlin Gaughan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 102 N Heinlein Dr, Shelbyville, IL 62565 Phone: 217-774-4422 | |
Mid-state Eye Partners Inc Optometrist Medicare: Medicare Enrolled Practice Location: 102 N Heinlein Dr, Shelbyville, IL 62565 Phone: 217-774-4422 Fax: 217-772-4722 | |
Joseph T Marcin Jr., Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1401 W Main St, Shelbyville, IL 62565 Phone: 217-774-2181 Fax: 217-774-3104 |