TED BORODOFSKY M.D. NPI 1013984624

NPI Information

NPI: 1013984624
Provider Name: TED BORODOFSKY, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
1903 BROADWAY ST
PADUCAH, KY
ZIP 42001
Phone: (270) 442-1671
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Ted Borodofsky, M.D. is an ophthalmology in Paducah, KY. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Ted Borodofsky, M.D. NPI is 1013984624. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1903 BROADWAY ST
PADUCAH, KY
ZIP 42001-105
Phone: (270) 442-1671
Fax: (270) 442-7307

The enumeration date for this NPI number is 3/2/2006 and was last updated on 10/25/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology		18831	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0544002	MEDICARE PIN
2	000000044965	OTHER		ANTHEM BCBS
3	64188311	MEDICAID	KENTUCKY
4	0470669210	MEDICAID	ILLINOIS
5	C72047	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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