Provider Demographics
NPI:1427288992
Name:BORDEN, JOSEPH FRANK (OD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:FRANK
Last Name:BORDEN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-1145
Mailing Address - Country:US
Mailing Address - Phone:303-279-3713
Mailing Address - Fax:
Practice Address - Street 1:1323 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-1915
Practice Address - Country:US
Practice Address - Phone:303-279-3713
Practice Address - Fax:303-273-5823
Is Sole Proprietor?:No
Enumeration Date:2009-07-19
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2748152WP0200X, 152WV0400X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy