Dodd Randall Portman in Santa Clara - Optometrist

Dodd Randall Portman - NPI 1659341097

Dodd Randall Portman is a Optometrist in Santa Clara, California. Dodd Randall Portman practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Dodd Randall Portman is 1659341097. The last update date is 2023-03-07.

Dodd Randall Portman's current location address is 1190 Scott Blvd, Santa Clara, California. You can contact this provider via phone number 4082413510 and fax number 4082472605. The mailing address for Dodd Randall Portman is 1190 Scott Blvd, Santa Clara, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Dodd Randall Portman
Address 1190 Scott Blvd, Santa Clara, California
Phone Number 4082413510
Fax Number 4082472605
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1659341097
Provider Enumeration Date 2006-01-26
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 1190 Scott Blvd
City Santa Clara
State California (CA)
Post Code 950504562
Phone Number 4082413510
Fax Number 4082472605

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 8010T
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8010T CA OPTOMETRY LICENSE #
BI923Z CA MEDICARE PTAN

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FAQs about Dodd Randall Portman

What is the unique 10-digit identifier code issued to Dodd Randall Portman by the Centers for Medicare & Medicaid Services?

The Dodd Randall Portman has been assigned the NPI (National Provider Identifier) 1659341097 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Dodd Randall Portman located?

The Dodd Randall Portman is located at 1190 Scott Blvd, Santa Clara, CA 950504562.

What is the area of specialization for Dodd Randall Portman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Dodd Randall Portman is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1659341097 to Dodd Randall Portman?

The Centers for Medicare & Medicaid Services assigned the 1659341097 to Dodd Randall Portman on 2006-01-26.

As of what date were the Dodd Randall Portman's details last updated?

The information pertaining to the Dodd Randall Portman, including its address, specialty, and other details, was most recently updated on 2023-03-07.

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