Bogardus Vision Clinic PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1042 Issued in OK

Legal business name

BOGARDUS VISION CLINIC PC

Practice address

2200 SW 74TH St
Suite 102
Oklahoma City, OK 73159-3928

Phone

(405) 681-4500

Fax

(405) 681-0038

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Carl Robert Bogardus

Title

Owner

Phone

(405) 681-4500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1780942342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW 74TH ST",
            "address_2": "SUITE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593928",
            "telephone_number": "405-681-4500",
            "fax_number": "405-681-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SW 74TH ST",
            "address_2": "SUITE 102",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593928",
            "telephone_number": "405-681-4500",
            "fax_number": "405-681-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGARDUS VISION CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "BOGARDUS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-681-4500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Boehle, DPM
• Scott Alan Boehlke, L.O.
• Sharane C Boehlke
• Quynh Phuong Boerner, APRN
• Brooke Boettler
• Carl Robert Bogardus, O.D.
• Brian R Boggs, MD
• David Stewart Boggs, M.D.
• Melanie Shanell Boggs, APRN-CNP
• Robert D Boggs, D.C.

• Optometrist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.