Organization Active NPI

Borders Eyecare Specialists PLLC

  • Optometrist
  • Elizabethtown, KY
National Provider Identifier
1982263174
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BORDERS EYECARE SPECIALISTS PLLC
Practice address
611 W Poplar St Ste C4A
Elizabethtown, KY 42701-2464
Phone
(270) 872-8108
NPI assigned
Jun 11, 2019
Organization subpart
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

Authorized official

Name
Britt Borders, ODNPI 1467948588
Title
Owner
Phone
(270) 872-8108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

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

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190805000582 KY Part B Supplier - Clinic/Group Practice 1759618416 Receives reassigned benefits from 1 practitioner
Practice locations: Elizabethtown, KY

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1982263174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W POPLAR ST STE C4A",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012464"
        },
        {
            "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": "270-872-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORDERS EYECARE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "BORDERS",
        "authorized_official_first_name": "BRITT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-872-8108",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.