EYE HEALTH NORTHWEST OPTICAL LLC NPI 1073595823

NPI Information

EYE HEALTH NORTHWEST OPTICAL, LLC is an eyewear supplier in Portland, OR. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EYE HEALTH NORTHWEST OPTICAL, LLC NPI is 1073595823. The provider is registered as an organization entity type.

The provider's business location address is:

9555 SW BARNES RD
SUITE 201
PORTLAND, OR
ZIP 97225-663
Phone: (503) 227-2020
Fax: (503) 222-0614

The provider's authorized official is Robert Wells Bentley .
The authorized official title is President and has the following contact phone number (503) 557-2020.

The CLIA number assigned to this NPI record is 38D1023405 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 9/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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