Organization
DODD R PORTMAN, OD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DODD RANDALL PORTMAN O.D. (PRESIDENT)
(408) 241-3510
Entity
Organization
Contact information
Practice address
1190 SCOTT BLVD, SANTA CLARA, CA 95050-4562
(408) 241-3510
(408) 247-2605
Mailing address
1190 SCOTT BLVD, SANTA CLARA, CA 95050-4562
(408) 241-3510
(408) 247-2605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8010 TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BI921
MEDICARE PTAN
CA
Enumeration date
05/07/2007
Last updated
02/26/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us