Provider Demographics
NPI:1083005052
Name:BETTY BORSKY OD, PA
Entity Type:Organization
Organization Name:BETTY BORSKY OD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:BORSKY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:305-283-6989
Mailing Address - Street 1:2016 BAY DRIVE APT 503
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4421
Mailing Address - Country:US
Mailing Address - Phone:305-865-7990
Mailing Address - Fax:
Practice Address - Street 1:7535 WEST 4TH AVENUE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014
Practice Address - Country:US
Practice Address - Phone:305-821-3832
Practice Address - Fax:305-821-5271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2896152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty