Gregory G Bogdanovich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1635 Issued in WA

Practice address

500 W Market St
Aberdeen, WA 98520-6014

Phone

(360) 532-3611

Fax

(360) 533-3286

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gregory G Bogdanovich

  • Optometrist
  • Aberdeen, WA
  • NPI 1104015288
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1427102136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MARKET ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206014",
            "telephone_number": "360-532-3611",
            "fax_number": "360-533-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MARKET ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206014",
            "telephone_number": "360-532-3611",
            "fax_number": "360-533-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDANOVICH",
        "first_name": "GREGORY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008241",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bijan Sheikhizadeh DPM Inc PC
• Margaret Blake, CF-SLP
• Tiffany Hazel Mencias Blankenship, MD
• Alice Marie Bledsoe, M.ED
• Tori Ann Blume, DOULA
• Gary L Boog, PA-C
• Kristin Marijean Boogaard, BS, MSW CANDIDATE
• Stephanie Leigh Boone, DPT
• Cheryl Ann Boyer I
• Robert E Boyle Jr., PHARMD

• All providers in Aberdeen, WA
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.

Verify at the official NPI Registry.