Mayden Borrego, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4502 Issued in FL

Practice address

1800 SW 69TH Ave
Plantation, FL 33317-5027

Phone

(305) 496-1904

NPI assigned

Sep 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Mayden Borrego

  • Optometrist
  • Plantation, FL
  • NPI 1780079194
  NPD (past) Authorized official
• Dr Mayden Borrego PA

  • Optometrist
  • Miami, FL
  • NPI 1316245624
  NPD (past) Authorized official

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1396078796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SW 69TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333175027",
            "telephone_number": "305-496-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SW 69TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333175027",
            "telephone_number": "305-496-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORREGO",
        "first_name": "MAYDEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Kenneth Boose, DPM
• Nathalie G Bor, CRNA DNP
• Charmaine S. Borda, PH.D, LMHC, MFT
• Jaimie Carolina Borgenicht-Lopez, D.M.D
• Tatyana Strumkovskaya Borisiak, MD
• Trisha Borrero, M.S., CCC-SLP, ASDCS
• Katrina Boston, LCSW
• Nico Botelho
• Ana C Botero, M.D.
• Melissa Botero, APRN, FNP-BC

• Optometrist in Plantation, FL
• Providers in Plantation, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.