Jose M Portal, MD | |
5251 John Tyler Hwy, Suite 7, Williamsburg, VA 23185-2553 | |
(757) 229-8660 | |
(757) 258-8845 |
Full Name | Jose M Portal |
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Gender | Male |
Speciality | Ophthalmology |
Location | 5251 John Tyler Hwy, Williamsburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932179538 | NPI | - | NPPES |
1932179538 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 0101230626 (Virginia) | Primary |
Entity Name | Eastern Eye Associates, Inc. Optometrists |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790852986 PECOS PAC ID: 7911043021 Enrollment ID: O20091002000522 |
Mailing Address | Practice Location Address |
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Jose M Portal, MD 1322 Jamestown Rd, Williamsburg, VA 23185-3321 Ph: (757) 229-8660 | Jose M Portal, MD 5251 John Tyler Hwy, Suite 7, Williamsburg, VA 23185-2553 Ph: (757) 229-8660 |
Leana S. Long, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 120 Kings Way, Suite 1300, Williamsburg, VA 23185 Phone: 757-345-1001 Fax: 757-345-3102 | |
Robert Douglas Cullom, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 120 Kings Way, Suite 1300, Williamsburg, VA 23185 Phone: 757-345-3001 Fax: 757-345-3102 | |
Dr. Anthony W. Farah, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 120 Kings Way, Suite 1300, Williamsburg, VA 23185 Phone: 757-345-3001 Fax: 757-345-3102 | |
Dr. Andrew Rollin Davis, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5215 Monticello Ave Ste A, Williamsburg, VA 23188 Phone: 757-229-4000 | |
Mr. Glenn C Campbell, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5215 Monticello Ave, Williamsburg, VA 23188 Phone: 757-229-4000 | |
Dr. Franklin Lawrence Freda, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 204 Zelkova Rd, Williamsburg, VA 23185 Phone: 757-645-3394 | |
Dr. John R. Nordlund, M.D., PHD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5215 Monticello Ave Ste A, Williamsburg, VA 23188 Phone: 757-229-4000 |