Individual
DR. THEODORE E BOGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
WEST ROUTE 16, SHELBYVILLE, IL 62565-0199
(217) 774-4422
(217) 774-4722
Mailing address
PO BOX 199, SHELBYVILLE, IL 62565-0199
(217) 774-4422
(217) 774-4722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007165
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007165
—
IL
Enumeration date
10/25/2006
Last updated
12/19/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us