Jay Leslie Borgholthaus in Pocatello - Optometrist
Jay Leslie Borgholthaus - NPI 1952353716
Jay Leslie Borgholthaus is a Optometrist in Pocatello, Idaho. Jay Leslie Borgholthaus practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jay Leslie Borgholthaus is 1952353716. The last update date is 2016-06-22.
Jay Leslie Borgholthaus's current location address is 301 S 4th Ave # C-2, Pocatello, Idaho. You can contact this provider via phone number 2086370841 and fax number 2082376922. The mailing address for Jay Leslie Borgholthaus is 301 S 4th Ave # C-2, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Leslie Borgholthaus |
|---|---|
| Address | 301 S 4th Ave # C-2, Pocatello, Idaho |
| Phone Number | 2086370841 |
| Fax Number | 2082376922 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1952353716 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2016-06-22 |
Provider Mailing Address Detail
| Address | 301 S 4th Ave # C-2 |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 832016462 |
| Phone Number | 2086370841 |
| Fax Number | 2082376922 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | ODP-865 |
|
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 308200 | ID | -- |
Post Comment/ Review Below
What is the Jay Leslie Borgholthaus's unique identification number?
The Jay Leslie Borgholthaus has been assigned the NPI (National Provider Identifier) Number 1952353716 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jay Leslie Borgholthaus's facilities are geographically located?
The facilities of Jay Leslie Borgholthaus are physically situated at the following location: 301 S 4Th Ave # C-2, Pocatello, ID, 832016462.
What is the Jay Leslie Borgholthaus's area of specialization and corresponding taxonomy classification?
The Jay Leslie Borgholthaus's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1952353716 assigned to Jay Leslie Borgholthaus?
The Jay Leslie Borgholthaus was issued its 1952353716 on 2006-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jay Leslie Borgholthaus most recently updated or revised?
The information pertaining to Jay Leslie Borgholthaus, including its address, specialty, and other relevant details, was last updated or revised on 2016-06-22.