Dodd R Portman, Od, Inc

LBN: Dodd R Portman, Od, Inc
Dodd R Portman, Od, Inc is an health care organization with primary practice located at 1190 Scott Blvd , Santa Clara CA 95050-4562. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dodd R Portman, Od, Inc can be contacted via phone (408) 241-3510, or through Portman, Dodd Randall via phone (408) 241-3510.

Contact Information

Primary practice address
1190 Scott Blvd Santa Clara CA 95050-4562
Phone: (408) 241-3510
Fax: (408) 247-2605
Website:
Map and Directions
Authorized official contact:
Name: Portman, Dodd Randall Doctor of Optometry (OD)
Phone: (408) 241-3510

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8010 TPL California

Profile Details

NPI number 1255544375
LBN Legal business name Dodd R Portman, Od, Inc
DBA Doing business as
Authorized official Portman, Dodd Randall Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
Last updated Feb 26th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255544375 NPPES
California Other BI921 MEDICARE PTAN

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