| Charles P Bogie Iii, MD | |
|
5622 N Portland Ave Ste 200, Oklahoma City, OK 73112 | |
| (405) 528-8193 | |
| (405) 528-0626 |
| Full Name | Charles P Bogie Iii |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 28 Years |
| Location | 5622 N Portland Ave Ste 200, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588645253 | NPI | - | NPPES |
| 100228220C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 20772 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kansas Surgery & Recovery Center | Wichita, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grene Vision Group Llc | 1254324023 | 7 |
| Entity Name | Grene Vision Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285627562 PECOS PAC ID: 1254324023 Enrollment ID: O20040407000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles P Bogie Iii, MD 5622 N Portland Ave Ste 200, Oklahoma City, OK 73112-2000 Ph: (405) 418-4800 | Charles P Bogie Iii, MD 5622 N Portland Ave Ste 200, Oklahoma City, OK 73112 Ph: (405) 528-8193 |
Vinay Ashok Shah, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9821 S May Ave Ste C, Oklahoma City, OK 73159 Phone: 405-691-0505 Fax: 405-691-0507 | |
Cynthia A Bradford, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 608 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6060 Fax: 405-271-7873 | |
Jila Noorikolouri, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 608 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6060 Fax: 405-271-3013 | |
Dr. Brian Keith Firestone, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 608 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6060 Fax: 405-271-7873 | |
David W Parke Ii, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 608 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-1092 | |
Gary Waine Wilson, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 7101 Nw Expressway, Suite 335, Oklahoma City, OK 73132 Phone: 405-722-2020 Fax: 405-516-6126 | |
David W. Jackson, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10601 N May Ave, Oklahoma City, OK 73120 Phone: 405-286-2688 Fax: 405-849-6152 |