Provider Demographics
NPI:1154590263
Name:BORGES, NAIR ENID (OD)
Entity type:Individual
Prefix:MRS
First Name:NAIR
Middle Name:ENID
Last Name:BORGES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8880 W. CHARLESTON BLVD.
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5454
Mailing Address - Country:US
Mailing Address - Phone:702-938-2020
Mailing Address - Fax:702-938-2034
Practice Address - Street 1:8880 W. CHARLESTON BLVD.
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-5454
Practice Address - Country:US
Practice Address - Phone:702-938-2020
Practice Address - Fax:702-938-2034
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2636152W00000X
NV615152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist