Dr. Jay Leslie Borgholthaus is a Pocatello, Idaho based male Optometrist with 33 years of experience in Optometry. He completed his graduation from Pacific University - College Of Optometry in 1991. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jay Leslie Borgholthaus is ODP-865 for Optometry in Idaho. Dr. Jay Leslie Borgholthaus examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Jay Leslie Borgholthaus speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
33+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
1991
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
301 S 4th Ave # C-2, Pocatello, Idaho, 83201-6462
Phone:
208-637-0841
Fax:
208-237-6922
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9032152152
Enrollment ID:
I20050608001125
NPI Number:
1952353716
NPI Enumeration Date:
17 May, 2006
NPI Last Update On:
22 Jun, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jay Leslie Borgholthaus are as mentioned below.
License Number
Specialization
State
Status
ODP-865
Optometry
Idaho
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jay Leslie Borgholthaus has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Summit Eyecare Pllc (4284867888)
6
Summit Eyecare Pllc (4284867888)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jay Leslie Borgholthaus such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000308200
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
301 S 4th Ave # C-2, Pocatello, Idaho
Zip:
83201-6462
Phone Number:
208-637-0841
Fax Number:
208-237-6922
Patients can reach Dr. Jay Leslie Borgholthaus at 301 S 4th Ave # C-2, Pocatello, Idaho or can call to book an appointment on 208-637-0841. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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