Dr. Richard Alan Portillo is a Modesto, California based male Optometrist who is specialized in Optometry. Active license number of Dr. Richard Alan Portillo is OPT 7865 TPL for Optometry in California.
Dr. Richard Alan Portillo examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Richard Alan Portillo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Optometry |
| Credentials: | O.D. |
| Gender: | Male |
| Practice Address: | 1624 I St, Modesto,
California, 95354-1122 |
| Phone: | 209-578-4885 |
| Fax: | 209-578-4891 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1255450524 |
| NPI Enumeration Date: | 28 Mar, 2007 |
| NPI Last Update On: | 30 Mar, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Richard Alan Portillo are as mentioned below.
| License Number | Specialization | State | Status | |
| OPT 7865 TPL | Optometry | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Richard Alan Portillo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 770408813 | Other | California | TAX ID # |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1743,
Modesto, California |
| Zip: | 95353-1743 |
| Phone Number: | 209-578-4885 |
| Fax Number: | 209-578-4891 |
Patients can reach Dr. Richard Alan Portillo at
1624 I St, Modesto, California or can
call to book an appointment on 209-578-4885. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.