| Dr Richard Alan Portillo, OD | |
|
1624 I St, Modesto, CA 95354-1122 | |
| (209) 578-4885 | |
| (209) 578-4891 |
| Full Name | Dr Richard Alan Portillo |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1624 I St, Modesto, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255450524 | NPI | - | NPPES |
| 770408813 | Other | CA | TAX ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT 7865 TPL (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Alan Portillo, OD Po Box 1743, Modesto, CA 95353-1743 Ph: (209) 578-4885 | Dr Richard Alan Portillo, OD 1624 I St, Modesto, CA 95354-1122 Ph: (209) 578-4885 |
Dr. Ronald F Janda, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1011 Sylvan Ave, Ste. A, Modesto, CA 95350 Phone: 209-575-2020 Fax: 209-758-5693 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2225 Plaza Pkwy, Modesto, CA 95350 Phone: 209-702-6240 | |
Dr. Keith David Kajioka, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 809 Sylvan Ave, Suite 103, Modesto, CA 95350 Phone: 209-524-0100 Fax: 209-524-0596 | |
Dr. Patrick A Lonowski, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4120 Hallmark Way, Modesto, CA 95356 Phone: 209-390-4842 | |
Stanley Michael Martin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1011 Sylvan Ave, Modesto, CA 95350 Phone: 209-575-2020 Fax: 209-758-5693 | |
Dr. Mark Henry Harder, OD Optometrist Medicare: Medicare Enrolled Practice Location: 501 E Orangeburg Ave Ste B, Modesto, CA 95350 Phone: 209-596-4360 Fax: 209-566-0685 | |
Mark Harder Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 501 E Orangeburg Ave Ste B, Modesto, CA 95350 Phone: 209-596-4360 Fax: 209-566-0685 |