Ronald Leslie Borcherding, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

01611 Issued in IA

Practice address

3101 W Kimberly Rd
Davenport, IA 52806-3400

Phone

(563) 445-0152

Fax

(563) 445-0578

NPI assigned

Sep 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124014527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WILDWOOD TRL",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223871",
            "telephone_number": "563-355-1163",
            "fax_number": "563-359-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528063400",
            "telephone_number": "563-445-0152",
            "fax_number": "563-445-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCHERDING",
        "first_name": "RONALD",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1433664",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Randall Bolton, LISW
• Prakash R Bontu, M.D.
• Rupa Bontu, MD
• Amanda Lynn Boone, PHARMD
• Jacob Bradley Boraas, DC
• Ashley Borden, DO
• Abigail Borkhart, LMSW
• Allison Boros
• Robert Bose, D.C.
• Kelsey A Botruff, HIS

• Optometrist in Davenport, IA
• Providers in Davenport, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.