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Richard A Portillo O D A Professional Optometric Corporation
Point of Service in Modesto, California
NPI 1285963769

Richard A Portillo O D A Professional Optometric Corporation is a Point of Service based in Modesto, CA. Richard A Portillo O D A Professional Optometric Corporation practices in Modesto, CA. The NPI Number for Richard A Portillo O D A Professional Optometric Corporation is 1285963769 and holds a License No. 7865T (California).

The current practice location address for Richard A Portillo O D A Professional Optometric Corporation is 1624 I St, Modesto, CA and can be reached out via phone at 209-578-4885.

Location: 1624 I St, Modesto, CA, 95353-1743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285963769
Provider Name
Richard A Portillo O D A Professional Optometric Corporation
Credential
Provider Entity Type
Organization
Address
1624 I St, Modesto, CA, 95353-1743
Phone Number
209-578-4885
Fax Number
Provider Enumeration Date
12/13/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1624 I St
City
Modesto
State
California
Zip
95354-1122
Phone Number
209-578-4885
Fax Number
person
Provider Business Mailing Address Details
Address
1624 I St
City
Modesto
State
California
Zip
95354-1122
Phone Number
209-578-4885
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
7865T (California)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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