Provider Demographics
NPI:1922052190
Name:OLEGARIO, FILEMON EVANGELISTA (MD)
Entity Type:Individual
Prefix:DR
First Name:FILEMON
Middle Name:EVANGELISTA
Last Name:OLEGARIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:120 WEST 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301-0120
Mailing Address - Country:US
Mailing Address - Phone:606-996-9141
Mailing Address - Fax:605-996-9194
Practice Address - Street 1:120 W 6TH AVE
Practice Address - Street 2:
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301-1920
Practice Address - Country:US
Practice Address - Phone:606-996-9141
Practice Address - Fax:605-996-9194
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD2298207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDD25513Medicare UPIN