Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAY LESLIE BORGHOLTHAUS, OD
Active Sole ProprietorDR. JAY LESLIE BORGHOLTHAUS, OD is a Optometrist healthcare provider located in POCATELLO, Idaho. NPI 1952353716 is currently active in the NPPES registry. Verify at CMS.
Optometrist · POCATELLO, ID
Registration Details
- NPI Number
- 1952353716
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2006 (20.209513821362 yrs)
- Last Updated
- Jun 22, 2016
- License
-
ODP-865 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 S 4TH AVE # C-2POCATELLO, ID, 832016462Browse ID providers · Browse ZIP 83201
- Phone
- 2086370841
- Fax
- 2082376922
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| DOUGLAS GUSHWA | OD | 1629063284 |
| JAMIE THOMAS | OD | 1124014295 |
| DR. WALLACE LLOYD CHRISTENSEN | OD | 1760435143 |
| MR. MICHAEL R FLANDRO | OD | 1740385723 |
| DR. ARNEL ROY BAIRD | O.D. | 1063556116 |
| DR. MICHAEL A TUCKER | O.D. | 1902210107 |
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.