Individual provider Active NPI

Lars Daniel Bogar, OD

  • Optometrist
  • Mechanicsburg, PA
National Provider Identifier
1649824533
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003593 Issued in PA
Practice address
5012 Carlisle Pike
Mechanicsburg, PA 17050-2401
Phone
(717) 763-2020
Fax
(717) 909-6746
NPI assigned
Jul 29, 2019
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003593 PA Primary

Addresses

Primary practice location

5012 Carlisle Pike
Mechanicsburg, PA 17050-2401

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

301 East St
Bloomsburg, PA 17815-1846
Phone (570) 387-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20201102000937 PA Practitioner - Optometry 9133539281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finnco IncorporatedGroup PAC ID 0143389809, 3 clinicians

Practice addresses (Care Compare)

1901 Columbia Blvd
Bloomsburg, PA 17815-7750
Phone (570) 387-0991

5012 Carlisle Pike
Mechanicsburg, PA 17050-2401
Phone (717) 763-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince May 17, 2021 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince May 17, 2021 Accepting new patients
Bogar Vision Care LLC Optometrist CurrentSince May 12, 2024 Accepting new patients
Finnco Incorporated Optometrist CurrentSince Mar 2, 2026 Accepting new patients
Bloom Vision, LLC Optometrist PastSince May 1, 2022 Accepting new patients
America's Best Contacts & Eyeglasses PastSince Aug 1, 2019 Accepting new patients

Locations

1901 Columbia Blvd
Bloomsburg, PA 17815
Phone (570) 387-0991

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

5012 Carlisle Pike
Mechanicsburg, PA 17050
Phone (717) 763-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1649824533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 CARLISLE PIKE",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502401",
            "telephone_number": "717-763-2020",
            "fax_number": "717-909-6746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 East St",
            "address_purpose": "LOCATION",
            "city": "Bloomsburg",
            "state": "PA",
            "postal_code": "178151846",
            "country_code": "US",
            "telephone_number": "570-387-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGAR",
        "first_name": "LARS",
        "middle_name": "DANIEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.