TIMOTHY R PORT OD INC-CA
NPI 1962710293
Optometrist in Blythe, CA

Q: What is Timothy R Port Od Inc-Ca's NPI number?

The NPI number for Timothy R Port Od Inc-Ca is 1962710293. It was assigned to this organization in the NPPES registry on September 21, 2010.

Q: What is Timothy R Port Od Inc-Ca's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since September 21, 2010

110 N SPRING ST, BLYTHE, CA 92225(760) 922-3951(760) 922-5202 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Timothy R Port Od Inc-ca NPPES

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

TIMOTHY R PORT OD INC-CA (NPI 1962710293) is a healthcare organization registered as an optometrist in Blythe, California and active in the NPI registry since September 2010. The organization lists Timothy Reeve Port, President, as its authorized official.

NPPES Registry Identity

NPI1962710293

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameTIMOTHY R PORT OD INC-CA

Location Address110 N SPRING STBlythe, CA 92225-1633

Mailing Address110 N Spring StBlythe, CA 92225-1633 · (760) 922-3951 · Fax (760) 922-5202

Phone(760) 922-3951

Fax(760) 922-5202

Organization SubpartNo

Authorized OfficialTimothy Reeve PortPresident · (760) 922-3951

Enumeration DateSeptember 21, 2010

Last NPPES UpdateAugust 23, 2011

✔ NPI 1962710293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · CPT 5925

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

110 N SPRING ST, Blythe, CA 92225

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Other Identifiers 7

Other11840694CA · Vsp

Other16272CA · Medical Eye Servies

Medicare NSC0658170002CA

Medicare PINDN535ACA

Other211132CA · Eye Med

OtherZZZ50040ZCA · Blue Cross Insurance

MedicaidDN535ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

BARNET DULANEY PERKINS EYE CENTER, PC

Durable Medical Equipment & Medical Supplies

110 N SPRING ST
BLYTHE, CA 92225

Riverside County (760) 922-3951

SAC HEALTH SYSTEM

Clinic/Center (Federally Qualified Health Center (FQHC))

110 N SPRING ST
BLYTHE, CA 92225

Riverside County (909) 382-7100

STUART ADAMS OD PC

Optometrist

110 N SPRING ST
BLYTHE, CA 92225

Riverside County (760) 922-3951

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 Timothy R Port Od Inc-Ca's NPI number?

The NPI number for Timothy R Port Od Inc-Ca is 1962710293. It was assigned to this organization in the NPPES registry on September 21, 2010.

Where is Timothy R Port Od Inc-Ca located?

Timothy R Port Od Inc-Ca is located at 110 N Spring St, Blythe, CA 92225. The listed phone number is (760) 922-3951.

What is Timothy R Port Od Inc-Ca's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Timothy R Port Od Inc-Ca was last updated on August 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.