Individual
DR. MICHAEL PAUL BORDASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
ODT 1693
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4096541
BLUECROSSBLUE SHIELD
TN
Enumeration date
02/01/2007
Last updated
08/28/2018
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