Joseph Peter Portera, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

406 Issued in MS

Practice address

1607 Highway 1 S
Greenville, MS 38701-7832

Phone

(662) 378-2085

Fax

(662) 334-4593

NPI assigned

Sep 25, 2006

Last updated

Feb 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: direct@2020eyeworldgreenvillems.compulinkdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 20-20 Eyeworld Inc

  • Optometrist
  • Greenville, MS
  • NPI 1710012190
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1619078771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 HIGHWAY 1 S",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017832",
            "telephone_number": "662-378-2085",
            "fax_number": "662-334-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 HIGHWAY 1 S",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017832",
            "telephone_number": "662-378-2085",
            "fax_number": "662-334-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTERA",
        "first_name": "JOSEPH",
        "middle_name": "PETER",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087725",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Poe Chiropractic, LLC
• Willie Andrew Pole Jr., LCSW
• Port City Adult Daycare
• Port City Personal Care Services LLC
• John M Portera, DPM
• Potter Medical Services LLC
• Rhonda F Potter, NP
• Deonte R Powell Sr., PHARM.D
• Millicent Alicia Powell
• Premier Anesthesia of Mississippi LLC

• Optometrist in Greenville, MS
• Providers in Greenville, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.