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Theodore Bogart, O.D
NPI 1609950401 · on the registry since 2006 · sole proprietor
Practice
- Address
- West Route 16
Shelbyville, IL 62565 - Phone
- (217) 774-4422
- Fax
- (217) 774-4722
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois