Organization
BORDASH FAMILY EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PAUL BORDASH O.D. (OPTOMETRIST)
(423) 899-8626
Entity
Organization
Contact information
Practice address
2100 HAMILTON PLACE BLVD STE 280, CHATTANOOGA, TN 37421
(423) 899-8626
(423) 855-0044
Mailing address
2100 HAMILTON PLACE BLVD STE 280, CHATTANOOGA, TN 37421-6030
(423) 899-8626
(423) 855-0044
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1693
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4096541
BCBS
TN
Enumeration date
02/26/2008
Last updated
08/29/2018
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