1. Home
  2. Directory
  3. California
  4. Modesto
  5. Point Of Service
  6. NPI Profile

RICHARD A PORTILLO O D A PROFESSIONAL OPTOMETRIC CORPORATION
NPI 1285963769
Point of Service in Modesto, CA

Active since December 13, 2009

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard A Portillo O D A Professional Optometric Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD A PORTILLO O D A PROFESSIONAL OPTOMETRIC CORPORATION (NPI 1285963769) is a healthcare organization registered as a point of service in Modesto, California and active in the NPI registry since December 2009. The organization lists Richard Alan Portillo, President, as its authorized official.

NPPES Registry Identity

NPI1285963769
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameRICHARD A PORTILLO O D A PROFESSIONAL OPTOMETRIC CORPORATION
Location Address1624 I STModesto, CA 95354-1122
Mailing AddressPo Box 1743Modesto, CA 95353-1743 · (209) 578-4885
Phone(209) 578-4885
Organization SubpartNo
Authorized OfficialRichard Alan PortilloPresident · (209) 578-4885
Enumeration DateDecember 13, 2009
Last NPPES UpdateSeptember 18, 2012
✔ NPI 1285963769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in CA · 7865T
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
1624 I ST, Modesto, CA 95354
Open in Google Maps ↗

Other Identifiers 2

Medicare NSC4188040001CA
Medicare PINEV706ACA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD ALAN PORTILLO O.D.
Optometrist
1624 I ST
MODESTO, CA 95354
Stanislaus County (209) 578-4885

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard A Portillo O D A Professional Optometric Corporation's NPI number?

The NPI number for Richard A Portillo O D A Professional Optometric Corporation is 1285963769. It was assigned to this organization in the NPPES registry on December 13, 2009.

Where is Richard A Portillo O D A Professional Optometric Corporation located?

Richard A Portillo O D A Professional Optometric Corporation is located at 1624 I St, Modesto, CA 95354. The listed phone number is (209) 578-4885.

What is Richard A Portillo O D A Professional Optometric Corporation's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Richard A Portillo O D A Professional Optometric Corporation was last updated on September 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.