| Timothy R Port Od Inc-ca | |
|
110 N Spring St, Blythe, CA 92225-1633 | |
| (760) 922-3951 | |
| (760) 922-5202 |
| Full Name | Timothy R Port Od Inc-ca |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 110 N Spring St, Blythe, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962710293 | NPI | - | NPPES |
| ZZZ50040Z | Other | CA | BLUE CROSS INSURANCE |
| DN535A | Medicaid | CA | |
| 16272 | Other | CA | MEDICAL EYE SERVIES |
| 211132 | Other | CA | EYE MED |
| 11840694 | Other | CA | VSP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | CPT 5925 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy R Port Od Inc-ca 110 N Spring St, Blythe, CA 92225-1633 Ph: (760) 922-3951 | Timothy R Port Od Inc-ca 110 N Spring St, Blythe, CA 92225-1633 Ph: (760) 922-3951 |
Blythe Eye Care Medical Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 E Hobson Way, Blythe, CA 92225 Phone: 760-922-0284 | |
Dr. Daniel Mark Judd, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 E Hobsonway, Blythe, CA 92225 Phone: 760-922-0284 | |
Stuart Adams Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 N Spring St, Blythe, CA 92225 Phone: 760-922-3951 Fax: 760-922-5202 |