Individual
ANTHONY PETER BORGOGNONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1900 PRESTON RD, SUITE 265, PLANO, TX 75093-5175
(972) 519-0006
(972) 519-0669
Mailing address
3307 WELLS DR, PLANO, TX 75093-6634
(214) 718-4848
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3409TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100742901
MEDICAID
TX
01
—
60103017
DPS
—
Enumeration date
06/06/2006
Last updated
03/07/2023
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