IndividualActive
Kelly Borgman, O.D.
NPI 1063759678 · Pediatric Optometrist · Holland, MI
Provider details
- NPI number
- 1063759678
- Entity type
- Individual
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 1910DT (KY)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
904 Washington Ave Ste 120
Holland, MI 49423-7724
Phone: (616) 796-9995
Approximate (ZIP-level) locationGet directions
Mailing address
904 Washington Ave Ste 120
Holland, MI 49423-7724
Registry dates
- Enumerated
- 2013-01-16
- Last updated
- 2025-08-20
- Certified
- 2025-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.