Provider Demographics
NPI:1467948588
Name:BORDERS, BRITT AUSTIN (OD)
Entity Type:Individual
Prefix:DR
First Name:BRITT
Middle Name:AUSTIN
Last Name:BORDERS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:1016 NAVAHO DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-2023
Mailing Address - Country:US
Mailing Address - Phone:279-872-8108
Mailing Address - Fax:
Practice Address - Street 1:611 W POPLAR ST STE C4A
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2464
Practice Address - Country:US
Practice Address - Phone:270-765-3937
Practice Address - Fax:270-765-6658
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY2105DT152WC0802X, 152WL0500X, 152WP0200X, 152WS0006X, 152WV0400X, 152WX0102X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision