EYE HEALTH NORTHWEST, P.C. (NPI# 1407180060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407180060 |
| Entity Type | Organization |
| Organization Name | EYE HEALTH NORTHWEST, P.C. |
| 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 | 2009-09-29 |
| Last Update Date | 2010-04-07 |
| Authorized Official Name | DR. ROBERT WELLS BENTLEY (PRESIDENT) |
| Authorized Official Telephone | 5032272020 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | EYE HEALTH NORTHWEST P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 085006 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326505819 | Eye Health Northwest, P.C. | Ophthalmology | 29250 Town Center Loop W, Wilsonville, OR 97070 | 2019-02-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EYE HEALTH NORTHWEST, P.C. | 11086 Se Oak St, Milwaukie, OR 97222 |
| 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 |
| 1144466541 | Kristi Liu | Optometrist | 6111 Ne Cornell Rd, Hillsboro, OR 97124-5410 | 2009-01-06 |
| 1174714943 | Eyehealth Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 6111 Ne Cornell Rd, Hillsboro, OR 97124-5410 | 2007-08-07 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871906776 | Neil M Bealka Jr Md Pa | Ophthalmology | 1400 Franklin, Hillsboro, TX 76645 | 2014-06-09 |
| 1235341595 | Grene Vision Group LLC | Ophthalmology | 132 S Main, Hillsboro, KS 67063 | 2007-05-07 |
| 1770587362 | Darell R Lumaco | Ophthalmology | 512 E Main St, Hillsboro, OR 97123-4137 | 2005-06-10 |
| 1427125525 | Tristate Centers for Sight, Inc. | Ophthalmology | 1275 N High St, Hillsboro, OH 45133-8273 | 2006-11-30 |
| 1275578775 | Hillsboro Eye Clinic, PC | Ophthalmology | 512 E Main St, Hillsboro, OR 97123-4137 | 2006-06-18 |
| 1477530152 | Chad R Goins | Ophthalmology | 512 E Main St, Hillsboro, OR 97123-4137 | 2005-12-23 |
| 1790786531 | Arthur Fs Steele | Ophthalmology | 512 E Main St, Hillsboro, OR 97123-4137 | 2005-08-02 |
| 1184628778 | Mary P Defrank | Ophthalmology | 512 E Main St, Hillsboro, OR 97123-4137 | 2005-06-10 |
| 1073517660 | Paul E Finley | Ophthalmology | 512 E Main St, Hillsboro, OR 97123-4137 | 2005-06-10 |
| 1235133810 | Ralph F Helzerman Jr. | Ophthalmology | 512 E Main St, Hillsboro, OR 97123-4159 | 2005-06-10 |
| Find all providers in HILLSBORO | ||||
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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.