EYEHEALTH NORTHWEST OPTICAL, LLC (NPI# 1174714943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174714943 |
| Entity Type | Organization |
| Organization Name | EYEHEALTH NORTHWEST OPTICAL, LLC |
| Practice Address |
6111 Ne Cornell Rd Hillsboro OR 97124-5410 |
| Mailing Address |
11086 Se Oak St Milwaukie OR 97222-6692 |
| Practice Telephone | 5038469400 |
| Practice Fax Number | 5038469500 |
| 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 | 5032272020 |
| 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 |
| 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 |
6111 NE CORNELL RD |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-5410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649387549 | Brian A Leak | Optometrist | 6111 Ne Cornell Rd, Eye Health Northwest, Hillsboro, OR 97124-5410 | 2006-08-24 |
| 1326453077 | June Tse | Optometrist | 6111 Ne Cornell Rd, Hillsboro, OR 97124-5410 | 2014-06-20 |
| 1407180060 | Eye Health Northwest, P.C. | Ophthalmology | 6111 Ne Cornell Rd, Hillsboro, OR 97124-5410 | 2009-09-29 |
| 1144466541 | Kristi Liu | Optometrist | 6111 Ne Cornell Rd, Hillsboro, OR 97124-5410 | 2009-01-06 |
| 1578777892 | Eye Health Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 6111 Ne Cornell Rd, Hillsboro, OR 97124-5410 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| 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 |
|---|---|---|---|---|
| 1013182229 | Jana L. Mounts O.d. Inc. | Eyewear Supplier (Equipment, not the service) | 2927 S.e. 73rd Ave, Hillsboro, OR 97123 | 2008-04-29 |
| 1548444797 | Leonard Hughes Co Inc | Eyewear Supplier (Equipment, not the service) | 11339 Hwy 21, Hillsboro, MO 63050 | 2007-12-24 |
| 1194870006 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 19325 Nw Emma Way, The Streets of Tanasbourne Ste #1210, Hillsboro, OR 97124-9004 | 2007-01-24 |
| 1285671321 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6495 Se Tualatin Valley Hwy, Suite C, Hillsboro, OR 97123-7482 | 2006-05-31 |
| 1831589332 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1255 Ne 48th Ave, Hillsboro, OR 97124-5008 | 2015-02-04 |
| 1578777892 | Eye Health Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 6111 Ne Cornell Rd, Hillsboro, OR 97124-5410 | 2007-05-09 |
| 1821185588 | Hillsboro Eye Clinic,pc | Eyewear Supplier (Equipment, not the service) | 512 E Main St, Hillsboro, OR 97123-4137 | 2006-10-06 |
| 1275628869 | Hillsboro Eye Clinic, PC | Eyewear Supplier (Equipment, not the service) | 18650 Nw Cornell Rd, Suite 112, Hillsboro, OR 97124-9208 | 2006-10-03 |
| 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 | ||||
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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.