Individual
TROY D BORNHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
833 E BROAD ST, ELYRIA, OH 44035-6557
(440) 366-6969
(440) 366-9513
Mailing address
2740 CARNEGIE AVE, CLEVELAND, OH 44115-2627
(216) 621-6132
(216) 621-2803
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5460 T2372
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2498524
—
OH
Enumeration date
08/15/2006
Last updated
07/08/2007
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