DR. WALTER LOVELL BOGART III (NPI# 1922084151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922084151 |
| Entity Type | Individual |
| Full Name | DR. WALTER LOVELL BOGART III |
| Credential | M.D. |
| Practice Address |
2600 Ne Neff Rd Bend OR 97701-6337 |
| Mailing Address |
603 Bimini Twist Cir Ste C Lexington SC 29072-6725 |
| Practice Telephone | 8037940000 |
| Practice Fax Number | 8037940003 |
| Mailing Telephone | 8033618269 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 14203 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MEDICARE | 180042973 | 01 |
| SC | 142036 | 05 |
| Street Address |
2600 NE NEFF RD |
| City | BEND |
| State | OR |
| Zip Code | 97701-6337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614997 | Marrett Hild | Physician Assistant | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2019-02-08 |
| 1851769160 | Kelsie Flynn Bostwick | Pharmacist | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2015-09-03 |
| 1992184212 | Joslyn Gibson | Physician Assistant | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2015-05-19 |
| 1912269168 | Kathleen Ann Wachtler | Family Medicine | 2600 Ne Neff Rd, Bend, OR 97701 | 2012-06-13 |
| 1730447350 | Sarah E Serrano | Internal Medicine | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2012-05-02 |
| 1366723611 | Karen E Siegel | Nurse Practitioner | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2011-08-31 |
| 1457645533 | Sarah Elizabeth Dawson | Internal Medicine | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2011-06-06 |
| 1144524273 | St. Charles Health System, Inc. | Family Medicine | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2011-01-04 |
| 1811200066 | Allison Ann Jones | Registered Nurse | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2010-07-16 |
| 1366765927 | Cascade Healthcare Community | Durable Medical Equipment & Medical Supplies | 2600 Ne Neff Rd, Suite 5, Bend, OR 97701-6337 | 2010-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1447513700 | Donald Richard Johnson | Ophthalmology | 19625 Tumalo Rim Court, Bend, OR 97701-8551 | 2012-06-21 |
| 1689800773 | Bend Memorial Clinic PC | Ophthalmology | 1080 Mount Bachelor Dr, Bend, OR 97702-3280 | 2009-06-03 |
| 1780872184 | John P Berreen | Ophthalmology | 2275 Ne Doctors Dr, Ste 2, Bend, OR 97701-6324 | 2007-10-10 |
| 1770797060 | Ida Alul | Ophthalmology | 2450 Ne Mary Rose Pl, Suite 110, Bend, OR 97701-7132 | 2007-05-09 |
| 1528271707 | Patricia O Buehler | Ophthalmology | 2450 Ne Mary Rose Pl, Suite 110, Bend, OR 97701 | 2007-05-07 |
| 1134208846 | Infocus Eye Care LLC | Ophthalmology | 2450 Ne Mary Rose Pl, Suite 110, Bend, OR 97701-7132 | 2006-11-03 |
| 1235167693 | Robert C Mathews | Ophthalmology | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2006-06-28 |
| 1275581365 | Thomas D Fitzsimmons | Ophthalmology | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2006-05-04 |
| 1043295512 | Michael D Stauder | Ophthalmology | 2275 Ne Doctors Dr, Suite 6, Bend, OR 97701-6324 | 2005-12-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.