Charles E Bohman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3280T365 Issued in OH

Practice address

91 E Marion St
Mount Gilead, OH 43338-1434

Phone

(419) 946-6881

Fax

(419) 946-6871

NPI assigned

Sep 9, 2005

Last updated

Oct 17, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Morrow Vision Center, Inc.

  • Custodial Care Facility
  • Mount Gilead, OH
  • NPI 1356523484
  Authorized official Same address or phone
• Complete Eye Care, LLC

  dba Morrow Vision Center

  • Optometrist
  • Mount Gilead, OH
  • NPI 1083969430
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1811981376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 E MARION ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381434",
            "telephone_number": "419-946-6881",
            "fax_number": "419-946-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 E MARION ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381434",
            "telephone_number": "419-946-6881",
            "fax_number": "419-946-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHMAN",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3280T365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0675023",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Jean Barchus, LISW
• Michele Lynn Bell
• Sadie Beougher, CNP
• Michael N Bock
• Kathy Boggs, RN
• Linda Joy Bradish, LPN
• Mark Payson Brady
• Melissa R Brewer, MPT
• Brian L. Bachelder MD (Bachelder Family Practice)
• Bright Choice Inc

• Optometrist in Mount Gilead, OH
• Providers in Mount Gilead, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.