| Michael J Portz, OD | |
|
1409 N 2nd St, Red Oak, IA 51566-1043 | |
| (712) 623-5551 | |
| (712) 623-4745 |
| Full Name | Michael J Portz |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1409 N 2nd St, Red Oak, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568463065 | NPI | - | NPPES |
| 27984 | Other | IA | WELLMARK BCBS |
| 0078618 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1753 (Iowa) | Primary |
| Provider Name | Michael J Portz OD PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225041890 PECOS PAC ID: 2264322627 Enrollment ID: O20040318000810 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Portz, OD 1409 N 2nd St, Po Box 463, Red Oak, IA 51566-1043 Ph: (712) 623-5551 | Michael J Portz, OD 1409 N 2nd St, Red Oak, IA 51566-1043 Ph: (712) 623-5551 |
Family Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 514 4th St., Red Oak, IA 51566 Phone: 712-623-9433 Fax: 712-623-6392 |
Michael J Portz Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1409 N Second Street, Red Oak, IA 51566 Phone: 712-623-5551 Fax: 712-623-4745 |
Jessica Jones, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1409 N 2nd St, Red Oak, IA 51566 Phone: 712-623-5551 |
Jones Od Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1409 N 2nd St, Red Oak, IA 51566 Phone: 712-623-5551 |
Mrs. Janet Louise Wade, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1409 N 2nd St, Red Oak, IA 51566 Phone: 712-623-5551 Fax: 712-623-4745 |
Family Vision Center - Red Oak Optometrist Medicare: Medicare Enrolled Practice Location: 514 N 4th St, Red Oak, IA 51566 Phone: 712-623-9433 |