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Contact Information

JEFFREY J BORODKIN, OD
2820 W MARKET ST
SUITE 140
FAIRLAWN, OH44333-4043
 Phone: 330-253-2436
 Fax: 330-253-2437
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JEFFREY J BORODKIN · (Male)

NPI Number 1508855669
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/20/2005
Last updated 05/23/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 3783
  • OH Medicaid 0720483
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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