NPIMap

Organization Active NPI

Eugene I Bogage Optometry

  • Optometrist
  • Pottsville, PA
National Provider Identifier
1124296967
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3728 Issued in PA
Legal business name
EUGENE I BOGAGE OPTOMETRY
Practice address
1464 RT 61 South
Pottsville, PA 17901-0749
Phone
(570) 385-5446
Fax
(570) 385-5517
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eugene J Bogage, OD
Title
Owner
Phone
(570) 385-5446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3728 PA Primary

Addresses

Primary practice location

1464 RT 61 South
Pottsville, PA 17901-0749

Mailing address

PO Box 749
1464 RT 61 South
Pottsville, PA 17901-0749
Phone (570) 385-5446

National Provider Directory

National Provider Directory

Locations

1464 Route 61 Hwy S
Pottsville, PA 17901
Phone (570) 385-2901

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1124296967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "address_2": "1464 RT 61 SOUTH",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179010749",
            "telephone_number": "570-385-5446",
            "fax_number": "570-385-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 RT 61 SOUTH",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179010749",
            "telephone_number": "570-385-5446",
            "fax_number": "570-385-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE I BOGAGE OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "BOGAGE",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-385-5446",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "3728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.