Individual provider Active NPI

Britt Austin Borders, OD

  • Optometrist
  • Elizabethtown, KY
National Provider Identifier
1467948588
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2105DT Issued in KY
Practice address
611 W Poplar St Ste C4A
Elizabethtown, KY 42701-2464
Phone
(270) 765-3937
Fax
(270) 765-6658
NPI assigned
Jul 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2105DT KY
Low Vision Rehabilitation Optometrist 152WL0500X 2105DT KY
Pediatric Optometrist 152WP0200X 2105DT KY
Sports Vision Optometrist 152WS0006X 2105DT KY
Vision Therapy Optometrist 152WV0400X 2105DT KY
Occupational Vision Optometrist 152WX0102X 2105DT KY
Optometrist 152W00000X 2105DT KY Primary

Addresses

Primary practice location

611 W Poplar St Ste C4A
Elizabethtown, KY 42701-2464

Mailing address

1016 Navaho Dr
Elizabethtown, KY 42701-2023
Phone (279) 872-8108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20190805000704 KY Practitioner - Optometry 7517216369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

611 W Poplar St
Suite C4A
Elizabethtown, KY 42701-2464
Phone (270) 765-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2105DTKYMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Borders Eyecare Specialists PLLC Optometrist CurrentSince Jun 3, 2019 Accepting new patients
John Kenyon American Eye Institute LLC PastSince Aug 1, 2019 Accepting new patients

Locations

611 W Poplar St
Ste C4A
Elizabethtown, KY 42701
Phone (270) 765-3937

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1467948588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 NAVAHO DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012023",
            "telephone_number": "279-872-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W POPLAR ST STE C4A",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012464",
            "telephone_number": "270-765-3937",
            "fax_number": "270-765-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDERS",
        "first_name": "BRITT",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "KY",
            "license": "2105DT",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "KY",
            "license": "2105DT",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "KY",
            "license": "2105DT",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "KY",
            "license": "2105DT",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "KY",
            "license": "2105DT",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "KY",
            "license": "2105DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2105DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.