Mary Alice Portillo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001974 Issued in VA

Practice address

2400 Sheila LN
Richmond, VA 23225-2040

Phone

(804) 433-1950

NPI assigned

Aug 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Alice Saluke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• America'S Best Contacts & Eyeglasses

  • Optician
  • Richmond, VA
  • NPI 1164619789
  NPD (past)

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1790091429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 IVY DR",
            "address_2": "APT. 12",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035033",
            "telephone_number": "937-681-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SHEILA LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232252040",
            "telephone_number": "804-433-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SALUKE",
            "middle_name": "ALICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Porter, MS, ACNP
• Hope Porter
• Joshua Dante Porter, PHARMD
• Nancy Porter
• Zaire Porter
• William Walter Porzio, DDS
• John Trevor Posenau, M.D.
• Positive Assistance & Therapeutic Health, LLC
• Positive Behavioral Health Consultation Services LLC
• Positive Development Group

• Optometrist in Richmond, VA
• Providers in Richmond, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.