Dr. Richard Alan Portillo

Address: 1624 I St, Modesto, CA 95354-1122
Phone: 2095784885

Dr. Richard Alan Portillo (NPI# 1255450524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1255450524
Entity Type Individual
Full Name Dr. Richard Alan Portillo
Credential O.D.
Gender Male
Practice Address 1624 I St
CA 95354-1122
Practice Telephone 2095784885
Practice Fax Number 2095784891
Mailing Address Po Box 1743
CA 95353-1743
Mailing Telephone 2095784885
Mailing Fax Number 2095784891
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2007-03-28
Last Update Date 2012-03-30

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 152W00000X Optometrist Eye and Vision Services Providers OPT 7865 TPL CA

Other Provider Identifier

State Identifier Issuer Type Code
CA 770408813 OTHER TAX ID #

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578913869 Lidia Tekie Optometrist 1208 Floyd Ave Bldg C, Modesto, CA 95350-2470 2016-06-16
1215186598 Lina Lee Optometrist 3200 Sisk Rd, Modesto, CA 95356-0546 2008-09-11
1366600082 Peter S. Klem Fred P. Guarcello Ptr Optometrist 4028 Dale Road, Suite 102, Modesto, CA 95356-9561 2008-05-29
1104001965 Erika Bray Ortega Optometrist 2401 E Orangeburg Ave Ste 280, Modesto, CA 95355-3396 2007-12-29
1114131141 Stanislaus Optometric Center, Inc. Optometrist 4028 Dale Rd Ste 102, Modesto, CA 95356-9505 2007-05-09
1619028842 Lincoln Andrus Service Jr. Optometrist 3500 Sisk Rd, Best Plaza Ste E, Modesto, CA 95356-0550 2007-01-15
1194889220 Brendan Richard James Optometrist 1019 16th St, Modesto, CA 95354-1105 2006-12-21
1336201615 Keith Yun Kong Wong Optometrist 3401 Dale Rd, Suite 300, Modesto, CA 95356-0505 2006-12-14
1760558498 L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr Optometrist 3601 Coffee Rd, Modesto, CA 95355 2006-11-27
1336213735 Eric E Miedema Optometrist 1700 Mchenry Avenue, Suite 77, Modesto, CA 95350-4318 2006-11-17
Find all providers in MODESTO

Office Location

Street Address 1624 I ST
State CA
Zip Code 95354-1122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285963769 Richard A Portillo O D A Professional Optometric Corporation Point of Service 1624 I St, Modesto, CA 95354-1122 2009-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669987301 Tristan Renee Bowman Student in an Organized Health Care Education/Training Program 1700 Mchenry Way, Modesto, CA 95354 2017-12-04
1134647944 Melissa Kathleen Huizar Occupational Therapist 730 17th Street, Modesto, CA 95354 2017-08-31
1861948424 Daniel Jones Specialist/Technologist 224 Eula Drive, Modesto, CA 95354 2016-09-01
1710333976 Elite First Health Clinic/Center 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 2016-05-06
1790169084 Ronika Rodriguez Licensed Vocational Nurse 328 Thrasher Ave, Modesto, CA 95354 2015-07-16
1942688528 Progressive Home Health and Hospice Care, LLC Home Health 1619 H Street, Modesto, CA 95354 2015-05-14
1225434277 Ashley Ann Brown Case Manager/Care Coordinator 1000 Needham, Modesto, CA 95354 2014-11-18
1922380518 Thao Truong Specialist 1321 I St Ste #3, Modesto, CA 95354 2011-09-09
1437441938 Amy Marie Lipomi Counselor 613 13th Street, Suite B, Modesto, CA 95354 2011-05-03
1871800813 Patricia Ashley Dalman Social Worker 1321 I Street Suite 3, Modesto, CA 95354 2010-09-13
Find all providers in zip 95354


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Zip Code 95354

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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