EYEHEALTH NORTHWEST OPTICAL, LLC (NPI# 1124278213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124278213 |
| Entity Type | Organization |
| Organization Name | EYEHEALTH NORTHWEST OPTICAL, LLC |
| Practice Address |
15963 Se Happy Valley Town Center Dr Happy Valley OR 97086-4253 |
| Mailing Address |
11086 Se Oak St Milwaukie OR 97222-6692 |
| Practice Telephone | 5033445102 |
| Practice Fax Number | 5033445110 |
| Mailing Telephone | 5035572020 |
| Mailing Fax Number | 5033445110 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |
| 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 |
|---|---|---|---|---|
| 1174714943 | Eyehealth Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 6111 Ne Cornell Rd, Hillsboro, OR 97124-5410 | 2007-08-07 |
| 1083805857 | Eyehealth Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 3246 N Lombard St, Portland, OR 97217-1206 | 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 |
15963 SE HAPPY VALLEY TOWN CENTER DR |
| City | HAPPY VALLEY |
| State | OR |
| Zip Code | 97086-4253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803674 | Brandy Lynn Sajovic | Case Manager/Care Coordinator | 10822 Se 82nd Ave., Suite K, Happy Valley, OR 97086 | 2015-02-18 |
| 1851795561 | Tyler Lundquist | Chiropractor | 16144 Se Happy Valley Town Center Dr #214, Happy Valley, OR 97086 | 2014-10-09 |
| 1184040644 | Rui O'reilly | Massage Therapist | 10911 Se Alyssa Dr, Happy Valley, OR 97086 | 2014-03-07 |
| 1083036990 | Laura Dillard | Registered Nurse | 10822 Se 82nd Ave, Happy Valley, OR 97086 | 2014-01-11 |
| 1699027672 | Clackamas Town Dental, LLC | Dentist | 9225 Se Sunnyside Road, Clackamas, OR 97086 | 2012-10-15 |
| 1750639233 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 11800 Se 82nd Avenue, Happy Valley, OR 97086 | 2012-08-15 |
| 1962641654 | Mt Scott Vision and Ocular Imaging Center PC | Optometrist | 9300 Ne 91st Ave, Suite 100, Happy Valley, OR 97086 | 2009-02-19 |
| 1598916546 | Cynthia Sue Weaver | Nurse Practitioner | 9300 Se 91 Ave., Suite 400, Portland, OR 97086 | 2008-10-08 |
| 1396928776 | Cary Ann Fardal | Dietitian, Registered | 13444 Se Piper Dr, Happy Valley, OR 97086 | 2007-12-09 |
| 1689873242 | New Seasons Market - Happy Valley | Pharmacy | 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 | 2007-07-13 |
| Find all providers in zip 97086 | ||||
| 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 |
|---|---|---|---|---|
| 1952457657 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 12000 Se 82nd Ave, Clackamas Town Ctr Ste #2012, Happy Valley, OR 97086-7721 | 2007-01-26 |
| 1700975745 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 12000 Se 82nd Ave Ste 2193, Happy Valley, OR 97086-7746 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255827689 | Woodburn Eye Center, LLC | Eyewear Supplier (Equipment, not the service) | 580 Glatt Cir, Woodburn, OR 97071-7690 | 2018-07-09 |
| 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 |
| 1871048090 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 30020 Sw Boones Ferry Rd, Wilsonville, OR 97070-8912 | 2016-08-17 |
| 1467823518 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3148 N Highway 97, Suite B-1, Bend, OR 97703-7514 | 2015-10-15 |
| 1871962951 | Optical Shop Equipment Inc | Eyewear Supplier (Equipment, not the service) | 341 Nw Medical Loop, Suite 120, Roseburg, OR 97471-5540 | 2015-09-18 |
| 1326460221 | Mt. Hood Eye Care Corporation | Eyewear Supplier (Equipment, not the service) | 36840 Industrial Way Ste D, Sandy, OR 97055-9254 | 2014-01-11 |
| 1528301173 | Treondaus Garnett Morman | Eyewear Supplier (Equipment, not the service) | 1135 Santiam Hwy Se, Albany, OR 97321-3156 | 2013-04-02 |
| 1750611372 | Focal Point | Eyewear Supplier (Equipment, not the service) | 2002 Highway 101, North, Florence, OR 97439-0155 | 2010-01-04 |
| Find all providers with the same taxonomy | ||||
| City | HAPPY VALLEY |
| Zip Code | 97086 |
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.