Dodd Randall Portman in Santa Clara - Corneal And Contact Management
Dodd Randall Portman - NPI 1659341097
Dodd Randall Portman is a Corneal And Contact Management in Santa Clara, California. Dodd Randall Portman practices all healthcare services and medical treatments related to Corneal And Contact Management. 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 | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | 8010T |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8010T | CA | OPTOMETRY LICENSE # | |
| BI923Z | CA | MEDICARE PTAN |
Post Comment/ Review Below
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 Corneal And Contact Management, and the corresponding taxonomy code that categorizes this area of expertise is 152Wc0802X.
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.