Whalio Doctors

NPI 1124014527

Ronald Leslie Borcherding, OD

Practitioner Optometrist Davenport, IA

Practice location

Address
3101 W Kimberly Rd, Davenport, IA 52806-3400
Phone
(563) 445-0152
Fax
(563) 445-0578
Mailing address
15 Wildwood Trl, Bettendorf, IA 52722-3871

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 01611 (IA)

Registry record

NPI
1124014527
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Sep 2005
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.