Individual provider · NPI-1

Jaden Ryan Borders, OD

Optometrist · Longview, TX

NPI number1649197336
StatusActive
Last updated in NPPESJul 2, 2026

Details

NPI
1649197336
Entity type
Individual (NPI-1)
Name
Jaden Ryan Borders
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 2, 2026
Certification date
Jul 2, 2026
Last updated
Jul 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist11743TXYes

Practice location

1821 Judson Rd
Longview, TX 75605-4710

Phone 903-758-8832 · Fax 903-238-8876

Mailing address

1821 Judson Rd
Longview, TX 75605-4710

Phone 903-758-8832 · Fax 903-238-8876

Other practice locations

2001 W Ferguson Rd Ste 2020
Mount Pleasant, TX 75455-2962

Phone 903-572-1991

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