Individual
DR. CARL ROBERT BOGARDUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2200 SW 74TH ST, SUITE 102, OKLAHOMA CITY, OK 73159-3928
(405) 681-4500
(405) 681-0038
Mailing address
2200 SW 74TH ST, SUITE 102, OKLAHOMA CITY, OK 73159-3928
(405) 681-4500
(405) 681-0038
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1042
OK
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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