EYE HEALTH NORTHWEST P.C. (NPI# 1467786020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467786020 |
| Entity Type | Organization |
| Organization Name | EYE HEALTH NORTHWEST P.C. |
| Practice Address |
10819 Se Stark St Portland OR 97216-3161 |
| Mailing Address |
11086 Se Oak St Milwaukie OR 97222-6692 |
| Practice Telephone | 5032552291 |
| Practice Fax Number | 5032521797 |
| Mailing Telephone | 5035572020 |
| Mailing Fax Number | 5033445110 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2010-07-23 |
| 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 |
|---|---|---|---|---|
| 1124353362 | Eye Health Northwest P.C. | Ophthalmology | 11086 Se Oak St, Milwaukie, OR 97222-6692 | 2009-10-06 |
| 1174857833 | Eye Health Northwest P.C. | Ophthalmology | 5050 Ne Hoyt St, Suite 245, Portland, OR 97213-2991 | 2009-09-29 |
| 1932433695 | Eye Health Northwest P.C. | Ophthalmology | 9555 Sw Barnes Rd, Suite 201, Portland, OR 97225-6663 | 2009-09-29 |
| 1437483096 | Eye Health Northwest P.C. | Ophthalmology | 12050 Se Stevens Rd, Suite 100, Happy Valley, OR 97086-7667 | 2009-09-29 |
| 1669706313 | Eye Health Northwest P.C. | Ophthalmology | 1955 Nw Northrup St, Portland, OR 97209-1614 | 2009-09-29 |
| 1821322587 | Eye Health Northwest P.C. | Ophthalmology | 24601 Se Stark St, Troutdale, OR 97060-3355 | 2009-09-29 |
| 1871827535 | Eye Health Northwest P.C. | Ophthalmology | 1306 Division St, Oregon City, OR 97045-1523 | 2009-09-29 |
| 1922332584 | Eye Health Northwest P.C. | Ophthalmology | 15298 Sw Royalty Pkwy, Tigard, OR 97224-3904 | 2009-09-29 |
| 1235463894 | Eye Health Northwest P.C. | Ophthalmology | 3246 N Lombard St, Portland, OR 97217-1206 | 2009-09-29 |
| Street Address |
10819 SE STARK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-3161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804081 | Jonathan Yoken | Ophthalmology | 10819 Se Stark St, Suite 200, Portland, OR 97216-3161 | 2005-07-12 |
| 1720357825 | Karen Truong | Optometrist | 10819 Se Stark St, Portland, OR 97216-3161 | 2011-12-19 |
| 1831320233 | Francisco Castillo | Ophthalmology | 10819 Se Stark St, Portland, OR 97216 | 2009-08-03 |
| 1700014503 | Matthew Brian Kaufman | Ophthalmology | 10819 Se Stark St, Portland, OR 97216 | 2009-06-30 |
| 1225201155 | Jordon G Lubahn | Ophthalmology | 10819 Se Stark St, Portland, OR 97216-3161 | 2008-04-11 |
| 1669655213 | Robert H Mcglynn Jr. | Ophthalmology | 10819 Se Stark St, Portland, OR 97216-3161 | 2007-12-06 |
| 1578690566 | Brian Tsi-wah Chan-kai | Ophthalmology | 10819 Se Stark St, Portland, OR 97216-3161 | 2007-02-27 |
| 1801974027 | Shane K. Kim | Ophthalmology | 10819 Se Stark St, Suite 200, Portland, OR 97216-3161 | 2006-11-02 |
| 1497737027 | James Roger Waldman | Ophthalmology | 10819 Se Stark St, Suite 200, Portland, OR 97216-3161 | 2005-11-18 |
| 1245212901 | Jonathan Robert Kemp | Ophthalmology | 10819 Se Stark St, Suite 200, Portland, OR 97216-3161 | 2005-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| 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 |
|---|---|---|---|---|
| 1003357831 | Sungjae Yang | Ophthalmology | 3375 Sw Terwilliger Bld, Casey Eye Institue, Portland, OR 97239-3098 | 2017-03-13 |
| 1538522669 | Priscilla Quynh-phuong Vu | Ophthalmology | 515 Sw Campus Dr, Portland, OR 97239-3130 | 2016-04-05 |
| 1861736902 | Asem Alqudah | Ophthalmology | 4730 Sw Luradel St Apt 6, Portland, OR 97219-6841 | 2012-11-15 |
| 1184912925 | Mehrdad Malihi | Ophthalmology | 10940 Sw Barnes Rd # 132, Portland, OR 97225-5368 | 2011-07-14 |
| 1275820714 | Aristomenis Thanos | Ophthalmology | 1040 Nw 22nd Ave Bldg 2, Portland, OR 97210-3057 | 2011-07-06 |
| 1437440435 | Jessica S Watson | Ophthalmology | 15 Lowell Street, Portland, ME 04102-2726 | 2011-04-25 |
| 1497955777 | Paul James Mackenzie | Ophthalmology | 1040 Nw 22nd Ave Fl 2, Portland, OR 97210-3057 | 2007-07-24 |
| 1013127075 | Michael David Straiko | Ophthalmology | 1040 Nw 22nd Ave., Suite 200, Portland, OR 97210 | 2007-05-22 |
| 1952515645 | Jay Brandon Futterman | Ophthalmology | 3719 Se Market St, Portland, OR 97214-5147 | 2007-05-10 |
| 1063541381 | Thomas William Lindgren | Ophthalmology | 4702 Sw Scholls Ferry Rd # 104, Portland, OR 97225-1667 | 2007-03-04 |
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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.