Individual
BRETT JOSEF BORSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2292
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025972
KAISER COMMERCIAL NUMBER
CO
01
—
11372767
ROCKY MOUNTAIN HEALTH PLA
CO
01
—
204611
EYEMED
CO
01
—
2292
STATE LICENSE
CO
01
—
43718000
DAVIS
CO
01
—
805234
MEDICARE GROUP
CO
05
—
92282725
—
CO
01
—
B01505582
CLARITY
CO
Enumeration date
07/01/2006
Last updated
05/12/2021
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