Jamy Van Wyck Borbidge, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4993 Issued in MA

Practice address

2043 College Way
Forest Grove, OR 97116-1756

Phone

(503) 352-2020

NPI assigned

Jul 3, 2012

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

• Optometry Onsite New England PLLC

  • Clinic/Center
  • Bow, NH
  • NPI 1811633944
  NPD Authorized official
• Pacific University

  • Optometrist
  • Forest Grove, OR
  • NPI 1689782393
  NPD (past)
• The Iris Network

  • Assisted Living Facility
  • Portland, ME
  • NPI 1538399530
  NPD (past)

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1639433774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WINDSOR RD",
            "city": "BOW",
            "state": "NH",
            "postal_code": "033045218",
            "telephone_number": "603-568-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 COLLEGE WAY",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161756",
            "telephone_number": "503-352-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORBIDGE",
        "first_name": "JAMY",
        "middle_name": "VAN WYCK",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Debbie Bishop, LCSW
• Blossoming Health LLC
• Jessica Bodnar
• Ava Bogroff
• Marilyn J Booth, M.D.
• Bours Health Center
• William Alsop Bours IV, M.D.
• Mandy Bowdoin, OTD, OTR/L
• Ryan Douglas Bowser
• Levi D Boyer

• Optometrist in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.