Kristen Aileen Borriello, OD | |
850 Columbia Rd, Westlake, OH 44145-1493 | |
(866) 320-4573 | |
Not Available |
Full Name | Kristen Aileen Borriello |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 850 Columbia Rd, Westlake, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275263121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT.007045 (Ohio) | Primary |
Provider Name | The Cleveland Clinic Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Mailing Address | Practice Location Address |
---|---|
Kristen Aileen Borriello, OD 27826 Sonoma Ct, Cleveland, OH 44145-3002 Ph: (914) 391-8534 | Kristen Aileen Borriello, OD 850 Columbia Rd, Westlake, OH 44145-1493 Ph: (866) 320-4573 |
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