Richard A Portillo O D A Professional Optometric Corporation

LBN: Richard A Portillo O D A Professional Optometric Corporation
Richard A Portillo O D A Professional Optometric Corporation is an health care organization with primary practice located at 1624 I St , Modesto CA 95354-1122. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Richard A Portillo O D A Professional Optometric Corporation can be contacted via phone (209) 578-4885, or through Portillo, Richard Alan via phone (209) 578-4885.

Contact Information

Primary practice address
1624 I St Modesto CA 95354-1122
Phone: (209) 578-4885
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Portillo, Richard Alan Doctor of Optometry (OD)
Phone: (209) 578-4885

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 7865T California

Profile Details

NPI number 1285963769
LBN Legal business name Richard A Portillo O D A Professional Optometric Corporation
DBA Doing business as
Authorized official Portillo, Richard Alan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2009
Last updated Sep 18th, 2012 - about 13 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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