| Dodd R Portman, Od, Inc | |
|
1190 Scott Blvd, Santa Clara, CA 95050-4562 | |
| (408) 241-3510 | |
| (408) 247-2605 |
| Full Name | Dodd R Portman, Od, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1190 Scott Blvd, Santa Clara, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255544375 | NPI | - | NPPES |
| BI921 | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 8010 TPL (California) | Primary |
| Provider Name | Dodd R Portman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659341097 PECOS PAC ID: 8325032782 Enrollment ID: I20090223000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Dodd R Portman, Od, Inc 1190 Scott Blvd, Santa Clara, CA 95050-4562 Ph: (408) 241-3510 | Dodd R Portman, Od, Inc 1190 Scott Blvd, Santa Clara, CA 95050-4562 Ph: (408) 241-3510 |
Dr. Jeffery Allen Calmere, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 770 Scott Blvd, Santa Clara, CA 95050 Phone: 408-296-0511 Fax: 408-296-1647 | |
Azinda Morrow, Optometrist Medicare: May Accept Medicare Assignments Practice Location: 770 Scott Blvd, Santa Clara, CA 95050 Phone: 408-296-0511 Fax: 408-296-1647 | |
Nearsite Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5488 Marvell Ln, Santa Clara, CA 95054 Phone: 408-657-6327 | |
Noorie C Dong, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2817 El Camino Real, Santa Clara, CA 95051 Phone: 408-984-2020 Fax: 408-984-2016 | |
Steven Andrew Neunzig, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1190 Scott Blvd, Santa Clara, CA 95050 Phone: 408-241-3510 Fax: 408-247-2605 | |
Eyexam Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 2702 Augustine Dr Ste 120, Santa Clara, CA 95054 Phone: 408-528-7100 | |
Dr. Armando Amador Tapia, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-4205 |