EYE HEALTH NORTHWEST OPTICAL, LLC (NPI# 1396727566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396727566 |
| Entity Type | Organization |
| Organization Name | EYE HEALTH NORTHWEST OPTICAL, LLC |
| Practice Address |
11086 Se Oak St Milwaukie OR 97222-6692 |
| Mailing Address |
Po Box 22009 Milwaukie OR 97269-2009 |
| Practice Telephone | 5035572020 |
| Practice Fax Number | 5033445110 |
| Mailing Telephone | 5035572020 |
| Mailing Fax Number | 5033445110 |
| Enumeration Date | 2005-11-15 |
| 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 |
| 1073595823 | Eye Health Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 9555 Sw Barnes Rd, Suite 201, Portland, OR 97225-6663 | 2005-11-17 |
| 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 |
| Street Address |
11086 SE OAK ST |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-6692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619959731 | Eye Health Northwest, PC | Eyewear Supplier (Equipment, not the service) | 11086 Se Oak St, Administration, Milwaukie, OR 97222-6692 | 2005-11-15 |
| 1124353362 | Eye Health Northwest P.C. | Ophthalmology | 11086 Se Oak St, Milwaukie, OR 97222-6692 | 2009-10-06 |
| 1194940726 | Eyehealth Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 11086 Se Oak St, Administration, Milwaukie, OR 97222-6692 | 2007-04-17 |
| 1942282926 | Mindy Thanh Minh Ta | Optometrist | 11086 Se Oak St, Milwaukie, OR 97222-6692 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| 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 |
|---|---|---|---|---|
| 1619959731 | Eye Health Northwest, PC | Eyewear Supplier (Equipment, not the service) | 11086 Se Oak St, Administration, Milwaukie, OR 97222-6692 | 2005-11-15 |
| 1194940726 | Eyehealth Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 11086 Se Oak St, Administration, Milwaukie, OR 97222-6692 | 2007-04-17 |
| 1114056306 | Tabor Industries, Inc | Eyewear Supplier (Equipment, not the service) | 2236 Se Washington St, Suite D, Milwaukie, OR 97222-7696 | 2007-03-05 |
| 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.