NORTHWEST EYE CARE LLC (NPI# 1669856902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669856902 |
| Entity Type | Organization |
| Organization Name | NORTHWEST EYE CARE LLC |
| Other Organization Name | NORTHWEST EYE CARE PROFESSIONALS |
| Practice Address |
15259 Se 82nd Dr Suite 101 Clackamas OR 97015-6609 |
| Practice Telephone | 5036570321 |
| Practice Fax Number | 5036577066 |
| Mailing Telephone | 5036570321 |
| Mailing Fax Number | 5036577066 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |
| Authorized Official Name | DR. BRUCE ROBERT WOJCIECHOWSKI (MANAGER) |
| Authorized Official Telephone | 5036570321 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
1620ATI | OR | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 1620ATI | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 282442 | 05 | |
| WA | WORKER'S COMPENSATOIN | 0213843 | 01 |
| Other Name | Type Code |
|---|---|
| Northwest Eye Care Professionals | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NORTHWEST EYE CARE LLC | 1401 Se 164th Ave, Suite #100, Vancouver, WA 98683 |
| Street Address |
15259 SE 82ND DR SUITE 101 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-6609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437247533 | Bruce Robert Wojciechowski | Optometrist | 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015-6609 | 2006-10-11 |
| 1326200809 | John William Reski | Optometrist | 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015-6609 | 2008-06-26 |
| 1699976530 | Bruce R Wojciechowski | Optometrist | 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015-6609 | 2007-05-29 |
| 1245394022 | Christina E Peterson | Psychiatry & Neurology | 15259 Se 82nd Dr, 201b, Clackamas, OR 97015-6609 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083271027 | Mariam Khalid | Optometrist | 15259 Se 82nd Dr # 101, Clackamas, OR 97015-6609 | 2019-05-24 |
| 1841722881 | Daniel & Max, LLC | Optometrist | 9640 Se 82nd Ave, Clackamas, OR 97086-3768 | 2017-03-29 |
| 1003168337 | Ayla Jade Himmelsbach | Optometrist | 12020 Se Sunnyside Rd, Clackamas, OR 97015-8381 | 2012-10-10 |
| 1023344124 | Julia Sirianni | Optometrist | 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015-6609 | 2009-10-23 |
| 1437247533 | Bruce Robert Wojciechowski | Optometrist | 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015-6609 | 2006-10-11 |
| 1356446900 | Mark Edward Mclain | Optometrist | 12100 Se Stevens Ct Suite 106, Clackamas, OR 97086 | 2006-09-14 |
| 1326662115 | Christy Leigh Alfano | Optometrist | 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015-6609 | 2020-06-08 |
| 1487290763 | Sydney Kapp | Optometrist | 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015-6609 | 2019-11-21 |
| 1184936312 | Rachel A Jorgensen | Optometrist | 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015-6609 | 2010-07-02 |
| 1528216793 | Carrie Lynn Breeden | Optometrist | 9201 Se 91st Ave, Suite 130, Clackamas, OR 97086-3760 | 2008-08-29 |
| Find all providers in CLACKAMAS | ||||
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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.