EYE HEALTH NORTHWEST OPTICAL, LLC (NPI# 1073595823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073595823 |
| Entity Type | Organization |
| Organization Name | EYE HEALTH NORTHWEST OPTICAL, LLC |
| Practice Address |
9555 Sw Barnes Rd Suite 201 Portland OR 97225-6663 |
| Mailing Address |
Po Box 22009 Milwaukie OR 97269-2009 |
| Practice Telephone | 5032272020 |
| Practice Fax Number | 5032220614 |
| Mailing Telephone | 5035572020 |
| Mailing Fax Number | 5033445110 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2008-09-17 |
| Authorized Official Name | DR. ROBERT WELLS BENTLEY (PRESIDENT) |
| Authorized Official Telephone | 5035572020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992787410 | Eye Health Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 15405 Sw 116th Ave, Suite 204, Portland, OR 97224-4101 | 2005-11-18 |
| 1750363958 | Eye Health Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 1306 Division St, Oregon City, OR 97045-1523 | 2005-11-15 |
| 1043292220 | Eye Health Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 24601 Se Stark St, Troutdale, OR 97060-3355 | 2005-11-15 |
| 1578777892 | Eye Health Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 6111 Ne Cornell Rd, Hillsboro, OR 97124-5410 | 2007-05-09 |
| 1467434209 | Eye Health Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 5050 Ne Hoyt St, Suite 200, Portland, OR 97213-2991 | 2005-11-17 |
| 1063494243 | Eye Health Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 1955 Nw Northrup St, Portland, OR 97209-1614 | 2005-11-15 |
| 1396727566 | Eye Health Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 11086 Se Oak St, Milwaukie, OR 97222-6692 | 2005-11-15 |
| Street Address |
9555 SW BARNES RD SUITE 201 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-6663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001023 | Jay Christopher Andersen | Internal Medicine | 9555 Sw Barnes Rd, Ste 150, Portland, OR 97225-6663 | 2005-05-23 |
| 1285025619 | Rebecca Clark | Genetic Counselor, MS | 9555 Sw Barnes Rd, Suite 150, Portland, OR 97225-6663 | 2015-02-06 |
| 1437551199 | Saffron's Specialized Medical, Inc | Durable Medical Equipment & Medical Supplies | 9555 Sw Barnes Rd, Suite 215, Portland, OR 97225-6663 | 2014-09-24 |
| 1710398623 | Saffron Gustafson | Specialist | 9555 Sw Barnes Rd, Suite 215, Portland, OR 97225-6663 | 2014-05-13 |
| 1336577386 | Erin Cope | Social Worker | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2013-10-29 |
| 1104252097 | Sarah Elizabeth Bodian | Advanced Practice Midwife | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2013-09-24 |
| 1679821672 | Sandra Sue Karp | Nurse Practitioner | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2012-08-22 |
| 1396009254 | Molly F Weeber | Registered Nurse | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2012-06-26 |
| 1851667323 | Michelle Lynnette Monnie | Obstetrics & Gynecology | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2012-03-28 |
| 1053688036 | Sunset Surgical Centre LLC | Clinic/Center | 9555 Sw Barnes Rd, Suite 275, Portland, OR 97225-6663 | 2011-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573914 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 513-515 Warren Avenue, Portland, ME 04103-1005 | 2020-09-21 |
| 1518473297 | Asterix Eyewear | Eyewear Supplier (Equipment, not the service) | 4936 Se Foster Rd, Portland, OR 97206-3037 | 2017-12-18 |
| 1831616929 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 817 Nw 23rd Ave, Portland, OR 97210-3003 | 2017-08-29 |
| 1568993988 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 9300 Sw Washington Square Rd, Portland, OR 97223-4428 | 2017-03-27 |
| 1063681617 | Oregon Eye Specialists PC | Eyewear Supplier (Equipment, not the service) | 5050 Ne Hoyt St Ste 445, Portland, OR 97213-2984 | 2008-02-28 |
| 1235337890 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 17311 Ne Halsey St, Portland, OR 97230-6025 | 2007-07-05 |
| 1225158496 | Anh Bui | Eyewear Supplier (Equipment, not the service) | 5845 Ne Prescott St, Portland, OR 97218-2231 | 2007-03-30 |
| 1023135670 | Robert M Barton Jr Od | Eyewear Supplier (Equipment, not the service) | 1540 Wildcat Dr, Ste A, Portland, TX 78374-2814 | 2007-03-26 |
| 1831243278 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 513-515 Warren Ave, Portland, ME 04103 | 2007-01-23 |
| 1114076809 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1260 Lloyd Ctr, Portland, OR 97232-1301 | 2007-01-10 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.