Organization
BORCHERT OPTOMETRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY A BORCHERT O.D. (MEMBER)
(317) 398-8299
Entity
Organization
Contact information
Practice address
273 W BROADWAY ST, SHELBYVILLE, IN 46176-1101
(317) 398-8299
Mailing address
273 W BROADWAY ST, SHELBYVILLE, IN 46176-1101
(317) 398-8299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002294
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200896550 A
—
IN
Enumeration date
03/15/2008
Last updated
05/07/2012
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