OrganizationActive
Timothy R Port OD Inc-Ca
NPI 1962710293 · Optometrist · Blythe, CA
Provider details
- NPI number
- 1962710293
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Timothy Port, President(760) 922-3951
- License
- CPT 5925 (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 N Spring St
Blythe, CA 92225-1633
Phone: (760) 922-3951
Fax: (760) 922-5202
Street-level locationGet directions
Mailing address
110 N Spring St
Blythe, CA 92225-1633
Registry dates
- Enumerated
- 2010-09-21
- Last updated
- 2011-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.