Organization · Type 2 NPI
Richard A Portillo O D A Professional Optometric Corporation
Point of Service · Modesto, CA
NPI number
1285963769
Active
Practice location
1624 I St
Modesto, CA 95354-1122
Mailing address
PO Box 1743
Modesto, CA 95353-1743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 7865T (CA) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Another provider at this address
Other point of service providers in Modesto
About NPI 1285963769
Richard A Portillo O D A Professional Optometric Corporation's National Provider Identifier is 1285963769, issued on Dec 13, 2009. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Modesto, CA. The record was last updated on Sep 18, 2012.