EYEHEALTH NORTHWEST OPTICAL, LLC (NPI# 1083805857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083805857 |
| Entity Type | Organization |
| Organization Name | EYEHEALTH NORTHWEST OPTICAL, LLC |
| Practice Address |
3246 N Lombard St Portland OR 97217-1206 |
| Mailing Address |
11086 Se Oak St Milwaukie OR 97222-6692 |
| Practice Telephone | 5032851671 |
| Practice Fax Number | 5032857859 |
| Mailing Telephone | 5035572020 |
| Mailing Fax Number | 5033445110 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |
| 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 |
|---|---|---|---|---|
| 1124278213 | Eyehealth Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 15963 Se Happy Valley Town Center Dr, Happy Valley, OR 97086-4253 | 2008-09-24 |
| 1174714943 | Eyehealth Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 6111 Ne Cornell Rd, Hillsboro, OR 97124-5410 | 2007-08-07 |
| 1194940726 | Eyehealth Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 11086 Se Oak St, Administration, Milwaukie, OR 97222-6692 | 2007-04-17 |
| Street Address |
3246 N LOMBARD ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97217-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194716449 | Ann Mary Slocum-edmonds | Optometrist | 3246 N Lombard St, Portland, OR 97217-1206 | 2005-11-03 |
| 1770978934 | Jona Arielle Johnson | Optometrist | 3246 N Lombard St, Portland, OR 97217-1206 | 2015-04-03 |
| 1235463894 | Eye Health Northwest P.C. | Ophthalmology | 3246 N Lombard St, Portland, OR 97217-1206 | 2009-09-29 |
| 1831304674 | Eyehealth Northwest Opti Cal, LLC | Eyewear Supplier (Equipment, not the service) | 3246 N Lombard St, Portland, OR 97217-1206 | 2007-05-14 |
| 1215073267 | North Portland Optical | Optometrist | 3246 N Lombard St, Portland, OR 97217-1206 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| 1235643602 | Autism Outreach of Oregon | Occupational Therapist | 10350 N Vancouver Way #1043, Portland, OR 97217 | 2017-11-21 |
| 1689183717 | Kai-uwe H. Hahn Dmd Dba Edelweiss Dental | Clinic/Center | 3503 N Lombard Street, Portland, OR 97217 | 2017-09-20 |
| 1407308125 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 3449 N Anchor Street, Ste 300a, Portland, OR 97217 | 2016-10-28 |
| 1750740577 | Sheila Amoo | Adult Companion | 236 N Killingworth St. Apt.b104, Portland, OR 97217 | 2016-02-22 |
| 1801282199 | Justine Osborn | Specialist | 4310 N. Interstate Ave, Portland, OR 97217 | 2015-04-13 |
| 1578957742 | Paul Buck Md, Dds, PC | Clinic/Center | 3332 N Lombard St, Suite C, Portland, OR 97217 | 2015-03-25 |
| 1295158186 | Rebecca Bulleri | Massage Therapist | 5416 N. Maryland Ave, Portland, OR 97217 | 2014-01-28 |
| 1659793107 | Shellmire Unlimited, P.C. | Community/Behavioral Health | 4134 N Vancouver Avenue, Suite 102, Portland, OR 97217 | 2014-01-16 |
| 1417207994 | Sportland Acupuncture LLC | Acupuncturist | 1025 N Humboldt, Portland, OR 97217 | 2012-09-12 |
| Find all providers in zip 97217 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on EYEHEALTH NORTHWEST OPTICAL, LLC.
| 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.