Bordeaux Optical, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

1092 Issued in NC

Legal business name

BORDEAUX OPTICAL, INC.

Practice address

3363 Village Dr
Suite 100
Fayetteville, NC 28304-4508

Phone

(910) 485-4114

Fax

(910) 485-4116

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Jean Findlay Bowden, OPTICIAN

Title

Optician/Manager

Phone

(910) 485-4114

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1457597882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 VILLAGE DR",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044508",
            "telephone_number": "910-485-4114",
            "fax_number": "910-485-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 VILLAGE DR",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044508",
            "telephone_number": "910-485-4114",
            "fax_number": "910-485-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORDEAUX OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "FINDLAY",
        "authorized_official_title_or_position": "OPTICIAN/MANAGER",
        "authorized_official_telephone_number": "910-485-4114",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "1092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Dennett Booth, MD
• Frederick Allen Booth, DDS,MSD
• Morgan Booth, SLP
• Mallory Boozer
• Stephen David Borchman, MD
• Cheryl F. Borden, PT
• Pamela Bordenave
• Judith Haug Borger, DO
• Jasmin Borges
• Becky Leigh Born, FNP

• Prosthetic/Orthotic Supplier in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.