Hallina Nicole Portner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2037-IOD Issued in WV

Practice address

107 Doctors Dr
Bridgeport, WV 26330-1720

Phone

(304) 842-6226

NPI assigned

Jul 23, 2017

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

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lightbenders PLLCGroup PAC ID 0244652345, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cheat Lake Eye Care

  • Optometrist
  • Morgantown, WV
  • NPI 1043087133
  Medicare reassignment NPD Authorized official
• Lightbenders PLLC

  • Optometrist
  • Bridgeport, WV
  • NPI 1396383907
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500768000000",
    "number": "1972026862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 DEER RUN",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089177",
            "telephone_number": "304-288-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DOCTORS DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301720",
            "telephone_number": "304-842-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNER",
        "first_name": "HALLINA",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2017-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2037-IOD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Playology Pediatric Therapy
• Brian Christopher Policano, MD
• Howard Joe Poling Jr., PTA
• Chad Michael Porter, DC
• Ronald D Porter, CRNA
• Jason D Posey, PT
• Cassandra Nicole Poster, APRN
• Laura E Potesta, PAC
• Powerback Rehabilitation LLC
• Andrew Powers

• Optometrist in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.