Catherine Borgeson, OD | |
1155 Winter Garden Vineland Rd, Winter Garden, FL 34787-4375 | |
(407) 656-3755 | |
(407) 656-5362 |
Full Name | Catherine Borgeson |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1155 Winter Garden Vineland Rd, Winter Garden, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780065011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC5111 (Florida) | Primary |
Provider Name | Aeg Florida Professional Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164156246 PECOS PAC ID: 3870960032 Enrollment ID: O20221101003017 |
Mailing Address | Practice Location Address |
---|---|
Catherine Borgeson, OD 155 Winter Garden Vineland Road, 102, Winter Garden, FL 34787 Ph: (407) 656-3755 | Catherine Borgeson, OD 1155 Winter Garden Vineland Rd, Winter Garden, FL 34787-4375 Ph: (407) 656-3755 |
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