Individual provider · Type 1 NPI
Kelly Borgman, OD
Pediatric Optometrist · Holland, MI
NPI number
1063759678
Active
Practice location
904 Washington Ave Ste 120
Holland, MI 49423-7724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 1910DT (KY) |
| Pediatric Optometrist | 152WP0200X | 1910DT (KY) |
| Pediatric Optometrist Primary | 152WP0200X | 4901005784 (MI) |
Pediatric Optometrist: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
Another provider at this address
About NPI 1063759678
Kelly Borgman, OD's National Provider Identifier is 1063759678, issued on Jan 16, 2013. The primary taxonomy on file is Pediatric Optometrist (152WP0200X), and the practice location is in Holland, MI. The record was last updated on Aug 20, 2025.