Active NPI
Dodd R Portman, OD, Inc
- Optometrist
- Santa Clara, CA
National Provider Identifier
1255544375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8010 TPL
- Legal business name
- DODD R PORTMAN, OD, INC
- Practice address
- 1190 Scott Blvd
Santa Clara, CA 95050-4562 - Phone
- (408) 241-3510
- Fax
- (408) 247-2605
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dodd Randall Portman, O.D.
- Title
- President
- Phone
- (408) 241-3510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8010 TPL | CA | Primary |
Addresses
Primary practice location
1190 Scott Blvd
Santa Clara, CA 95050-4562
Mailing address
1190 Scott Blvd
Santa Clara, CA 95050-4562
Phone (408) 241-3510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BI921 | Other | CA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Santa Clara, CA
- NPI 1487130886
-
- Optometrist
- Mountain View, CA
- NPI 1831169663
-
- Optometrist
- Santa Clara, CA
- NPI 1093815953
-
- Optometrist
- Santa Clara, CA
- NPI 1124098561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235606400000",
"number": "1255544375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1190 SCOTT BLVD",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950504562",
"telephone_number": "408-241-3510",
"fax_number": "408-247-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 SCOTT BLVD",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950504562",
"telephone_number": "408-241-3510",
"fax_number": "408-247-2605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DODD R PORTMAN, OD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2009-02-26",
"status": "A",
"authorized_official_last_name": "PORTMAN",
"authorized_official_first_name": "DODD",
"authorized_official_middle_name": "RANDALL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-241-3510",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "8010 TPL",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "BI921",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.