Bordash Family Eye Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1693 Issued in TN

Legal business name

BORDASH FAMILY EYE CENTER LLC

Practice address

2100 Hamilton Place Blvd Ste 280
Chattanooga, TN 37421

Phone

(423) 899-8626

Fax

(423) 855-0044

NPI assigned

Feb 26, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Paul Bordash, O.D.NPI 1568500940

Title

Optometrist

Phone

(423) 899-8626

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Paul Bordash, O.D.

  • Optometrist
  • Chattanooga, TN
  • NPI 1568500940
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1053580878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 HAMILTON PLACE BLVD STE 280",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216030",
            "telephone_number": "423-899-8626",
            "fax_number": "423-855-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HAMILTON PLACE BLVD STE 280",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-899-8626",
            "fax_number": "423-855-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORDASH FAMILY EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "BORDASH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "423-899-8626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4096541",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Christine Boone, RN, APRN
• Jennifer Booth, NP
• Kaitlin Grace Booth
• Naomi Boothe, LPC/MHSP, MAC, NCC
• Julie Ana Boozer
• Michael Paul Bordash, O.D.
• Amy Dawn Boren, NP-C
• Todd Patrick Boren, M.D.
• Anna Borneman
• Ashlei Boron

• Optometrist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.