Individual provider · Type 1 NPI

Nicole E. Portnoy, OD

Optometrist · Phoenix, AZ

NPI number 1629303631 Active

Practice location

21001 N Tatum Blvd Ste 20
Phoenix, AZ 85050-4207

Mailing address

3837 E Patrick Ln
Phoenix, AZ 85050-7328

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X2230 (AZ)
Optometrist 152W00000X2721 (CO)

Optometrist: 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 e…

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About NPI 1629303631

Nicole E. Portnoy, OD's National Provider Identifier is 1629303631, issued on Oct 8, 2009. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 9, 2026.