Richard a Portillo O D a Professional Optometric Corporation
Richard a Portillo O D a Professional Optometric Corporation is a Point of Service in Modesto, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
1624 I StModesto, CA 95354-1122
Phone: (209) 578-4885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X · Licence 7865T (CA) |
|---|
Record details
| NPI number | 1285963769 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Portillo — President · (209) 578-4885 |
| NPI enumerated | December 13, 2009 |
| Last updated in NPPES | September 18, 2012 |
| Mailing address | Po Box 1743, Modesto, CA 95353-1743 |
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