Active NPI
Patricia R Bogaard, O.D.
- Optometrist
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2163
- Practice address
- 15341 W Waddell Rd Ste 106
Surprise, AZ 85379-5169 - Phone
- (623) 544-7800
- NPI assigned
- May 31, 2006
- Last updated
- Oct 31, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2163 | AZ | Primary |
| Optometrist | 152W00000X | 2001022272 | MO | |
| Optometrist | 152W00000X | 622 | SD |
Addresses
Primary practice location
15341 W Waddell Rd Ste 106
Surprise, AZ 85379-5169
Mailing address
26520 Network PL
Chicago, IL 60673-1265
Phone (623) 537-6000
Other practice location 1
5865 W Utopia Rd
Glendale, AZ 85308-5251
Phone (623) 537-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9203570 | Medicaid | SD | |
| G49B00001 | Other | MO | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15557 W Bell Rd
Suite 410
Surprise, AZ 85374-3059
Phone (623) 544-7800
5865 W Utopia Rd
Glendale, AZ 85308-5251
Phone (623) 537-6000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2163 | AZ | MD | Optometrist |
| 622 | SD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwestern University | Optometrist | Current | Accepting new patients |
| Steven R Holt OD PLLC | Optometrist | Current | Accepting new patients |
| Midwestern University | Optometrist | Current | Accepting new patients |
| Bogaard and Associates, LLC | Optometrist | Past | Accepting new patients |
| Midwestern University | Optometrist | Past | Accepting new patients |
Locations
19389 N 59th Ave
Glendale, AZ 85308
5865 W Utopia Rd
Glendale, AZ 85308
Phone (623) 806-7200
15341 W Waddell Rd
Ste 106
Surprise, AZ 85379
Phone (623) 544-7800
15557 W Bell Rd
Ste 410
Surprise, AZ 85374
Phone (623) 544-7800
26520 Network Pl
Chicago, IL 60673
Phone (630) 743-4500
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Midwestern University Multispecialty Clinic
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1932206414
Optometrist
-
dba Midwestern University Eye Institute-Downers Grove
- Optometrist
- Downers Grove, IL
- NPI 1295126324
-
dba Midwestern University Eye Institute
- Optometrist
- Glendale, AZ
- NPI 1891017745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1255378279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26520 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731265",
"telephone_number": "623-537-6000",
"fax_number": "623-806-7210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15341 W WADDELL RD STE 106",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853795169",
"telephone_number": "623-544-7800"
}
],
"practiceLocations": [
{
"address_1": "5865 W Utopia Rd",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853085251",
"country_code": "US",
"telephone_number": "623-537-6000",
"fax_number": "623-806-7210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOGAARD",
"first_name": "PATRICIA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "2163",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2001022272",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SD",
"license": "622",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9203570",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "G49B00001",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.