SCOTT EDWARD BORGHOLTHAUS (NPI# 1942388236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942388236 |
| Entity Type | Individual |
| Full Name | SCOTT EDWARD BORGHOLTHAUS |
| Credential | OD OPTOMETRIST |
| Practice Address |
1867 1st St Cheney WA 99004-1967 |
| Practice Telephone | 5094523937 |
| Practice Fax Number | 5094536567 |
| Mailing Telephone | 5092352010 |
| Mailing Fax Number | 5092352011 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2017-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3218 | WA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 1812 | OR | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 0736 | ID | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE BLUE SHIELD | 815580 | 01 |
| PALMETTO GBA RAILROAD MED | P00271493 | 01 | |
| WA | 2028124 | 05 |
| Street Address |
1867 1ST ST |
| City | CHENEY |
| State | WA |
| Zip Code | 99004-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104964642 | Margaret Kay Blum | Counselor | 1867 1st St, Cheney, WA 99004-1967 | 2007-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053862425 | Brittany Meyer | Massage Therapist | 10105 W Natalie Ave, Cheney, WA 99004 | 2016-10-20 |
| 1417358748 | Jennifer Lynn Omlin | Speech-Language Pathologist | 11622 S Scribner Rd, Cheney, WA 99004 | 2014-09-05 |
| 1487875647 | Cori R Lopez | Family Medicine | 19 N 7th Ave, Cheney, WA 99004 | 2007-05-02 |
| 1750411690 | First Street Cheney Physical Therapy | Physical Therapist | 2420 First Street, Cheney, WA 99004 | 2007-03-07 |
| 1841825734 | Isabella Theresa Quaratiello | Specialist/Technologist | 207 Physical Education Building, Cheney, WA 99004 | 2020-03-11 |
| 1336667542 | Lance Michael Melin | Physician Assistant | 1720 2nd St, Cheney, WA 99004 | 2017-09-07 |
| 1578746830 | Susan Dorene Fisher | Occupational Therapy Assistant | 2219 N 6th St, Cheney, WA 99004 | 2007-12-10 |
| 1881737500 | Richard N. Roccanova | Dentist | 1717 1st First, Cheney, WA 99004-0167 | 2007-02-14 |
| 1497785729 | Eric Lloyd Gunning | Specialist/Technologist | Peb 207, Cheney, WA 99004-1131 | 2006-07-03 |
| 1336615848 | Brenna Lynn Taylor | Counselor | 720 W 1st St Apt 12, Cheney, WA 99004-1238 | 2018-10-23 |
| Find all providers in zip 99004 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544101 | Destiny Nicole Mccoy | Optometrist | 19400 108th Ave Se Ste 202, Kent, WA 98031-0108 | 2020-09-25 |
| 1598370371 | Optometry Medical Group Inc | Optometrist | 1721 22nd Ave, Seattle, WA 98122-3324 | 2020-09-09 |
| 1962011320 | Kristine Marie Hackett | Optometrist | 19301 Se 34th St Ste 104, Camas, WA 98607-8881 | 2020-07-30 |
| 1245857044 | Minha Lee | Optometrist | 1468 158th Pl Ne, Bellevue, WA 98008-2782 | 2020-06-29 |
| 1437774734 | Vision Plus of Barkley Pllc | Optometrist | 2900 Woburn St Ste 101, Bellingham, WA 98226-3865 | 2020-06-11 |
| 1558985671 | Tiffany Lundberg | Optometrist | 2010 W Lincoln Ave Ste 1, Yakima, WA 98902-2413 | 2020-06-04 |
| 1801423041 | Jayeon Vision | Optometrist | 13909 Meridian E Ste A3, Puyallup, WA 98373-9180 | 2020-03-26 |
| 1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
| 1942832845 | Trinity Vision Pllc | Optometrist | 4750 N Division St Ste 282, Spokane, WA 99207-1433 | 2020-02-07 |
| 1104464536 | Washington Eyes, LLC | Optometrist | 5011 W Lowell Ave Ste 120, Spokane, WA 99208-8587 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.