EYE HEALTH NORTHWEST OPTICAL LLC NPI 1992787410

NPI Information

  • NPI: 1992787410
  • Provider Name: EYE HEALTH NORTHWEST OPTICAL, LLC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • CLIA Number: 38D2068817
  • Address: 15405 SW 116TH AVE
    SUITE 204
    PORTLAND, OR
    ZIP 97224
  • Phone: (503) 620-4070

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NPI Details

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 1992787410. The provider is registered as an organization entity type.

The provider's business location address is:

15405 SW 116TH AVE
SUITE 204
PORTLAND, OR
ZIP 97224-101
Phone: (503) 620-4070
Fax: (503) 598-9661

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 38D2068817 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2005 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11243050002MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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