NPI 1962943167 · live from the CMS NPI Registry
Joseph Daniel Bogaard, MD, PhD
Ophthalmology in Charlottesville, VA. National Provider Identifier 1962943167, active.
NPI record
| NPI | 1962943167 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1300 Jefferson Park Ave, Charlottesville, VA 22903 |
| Practice phone | 434-924-5485 |
| Mailing address | Po Box 9007, Charlottesville, VA 22906 |
| Enumerated | March 20, 2017 |
| Last updated | May 16, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 7652-851 (WI) |
| Ophthalmology | 207W00000X | 01090167A (IN) |
| Ophthalmology primary | 207W00000X | 0101271485 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.