EYE HEALTH NORTHWEST P.C. (NPI# 1669706313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669706313 |
| Entity Type | Organization |
| Organization Name | EYE HEALTH NORTHWEST P.C. |
| Practice Address |
1955 Nw Northrup St Portland OR 97209-1614 |
| Mailing Address |
11086 Se Oak St Milwaukie OR 97222-6692 |
| Practice Telephone | 5032272020 |
| Practice Fax Number | 5032220614 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1467786020 | Eye Health Northwest P.C. | Ophthalmology | 10819 Se Stark St, Portland, OR 97216-3161 | 2009-09-29 |
| 1437483096 | Eye Health Northwest P.C. | Ophthalmology | 12050 Se Stevens Rd, Suite 100, Happy Valley, OR 97086-7667 | 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 |
1955 NW NORTHRUP ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811981624 | Nathaniel Roland | Optometrist | 1955 Nw Northrup St, Portland, OR 97209-1614 | 2005-09-07 |
| 1003235557 | Amy Ying Tong | Ophthalmology | 1955 Nw Northrup St, Portland, OR 97209-1614 | 2014-04-14 |
| 1144491523 | Michael Allen Page | Ophthalmology | 1955 Nw Northrup St, Portland, OR 97209-1614 | 2008-03-13 |
| 1124042692 | Rebecca Lew Armour | Ophthalmology | 1955 Nw Northrup St, Portland, OR 97209-1614 | 2006-07-27 |
| 1982686671 | Robert Wells Bentley | Ophthalmology | 1955 Nw Northrup St, Portland, OR 97209-1614 | 2005-11-17 |
| 1407838477 | William John Prendergast IIi | Ophthalmology | 1955 Nw Northrup St, Portland, OR 97209-1614 | 2005-11-16 |
| 1932181906 | Andrew Nmi Romanowski | Ophthalmology | 1955 Nw Northrup St, Portland, OR 97209-1614 | 2005-11-16 |
| 1386626372 | Prashanth Nmi Vallabhanath | Ophthalmology | 1955 Nw Northrup St, Portland, OR 97209-1614 | 2005-11-16 |
| 1063494243 | Eye Health Northwest Optical, LLC | Eyewear Supplier (Equipment, not the service) | 1955 Nw Northrup St, Portland, OR 97209-1614 | 2005-11-15 |
| 1164404232 | Aazy A Aaby | Ophthalmology | 1955 Nw Northrup St, Portland, OR 97209-1614 | 2005-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| 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.