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Timothy R Port Od Inc-Ca

Optometrist in Blythe, CA · enumerated 2010 · authorized official Timothy Port, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962710293

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Registry record

Entity type Organization (Type 2)
Legal business name Timothy R Port Od Inc-Ca
Practice address 110 N Spring St, Blythe, CA, 92225
Phone (760) 922-3951
Fax (760) 922-5202
Enumeration date Sep 21, 2010
Last updated in NPPES Aug 23, 2011

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License CPT 5925 (CA) Primary

Authorized official

Name Timothy Port
Title President
Phone (760) 922-3951

Other identifiers

Identifier Type State Issuer
ZZZ50040Z Other CA BLUE CROSS INSURANCE
DN535A Medicaid CA -
16272 Other CA MEDICAL EYE SERVIES
211132 Other CA EYE MED
11840694 Other CA VSP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-08-23. Verify at npiregistry.cms.hhs.gov.
Where is Timothy R Port Od Inc-Ca located?
The practice location on file with NPPES is in Blythe, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-08-23.