Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY BORGMAN, O.D.
ActiveDR. KELLY BORGMAN, O.D. is a Pediatric Optometrist healthcare provider located in HOLLAND, Michigan. NPI 1063759678 is currently active in the NPPES registry. Verify at CMS.
Pediatric Optometrist · HOLLAND, MI
Registration Details
- NPI Number
- 1063759678
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2013 (13.589782940411 yrs)
- Last Updated
- Aug 20, 2025
- Licenses
-
1910DT (KY)1910DT (KY)4901005784 (MI)
Practice Information
- Address
-
904 WASHINGTON AVE STE 120HOLLAND, MI, 494237724Browse MI providers · Browse ZIP 49423
- Phone
- 6167969995
- Primary Specialty
-
Pediatric Optometrist
152WP0200X
- Additional Specialty
- Pediatric Optometrist
- Additional Specialty
- Pediatric Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.