DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH ALAN BORTNICK, O.D.

Active Sole Proprietor

DR. KENNETH ALAN BORTNICK, O.D. is a Optometrist healthcare provider located in SALISBURY, Maryland. NPI 1437213451 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SALISBURY, MD

Registration Details

NPI Number
1437213451
Provider Type
Individual
Gender
Male
NPI Issued
Dec 21, 2006 (19.621926432637 yrs)
Last Updated
Jul 8, 2007
Licenses
TAO709 (MD)
0601000758 (VA)
Sole Proprietor
Yes

Practice Information

Address
800 K SOUTH SALISBURY BLVD.
SALISBURY, MD, 21801
Browse MD providers · Browse ZIP 21801
Phone
4105461369
Fax
4105465987
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in SALISBURY, MD

Name Credential NPI
DR. JENNIFER R GILES O.D. 1841293040
DR. JEANNE MURPHY O.D. 1508869843
DR. TRACEY C BOSS O.D. 1801891403
DR. JOHN ANTHONY GEREMIA OD 1821014945
DR. JESSE MICHAEL LAEL CATRON O.D. 1366548398
DR. LORI ANN SPORTELLI OD 1417035981
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.