NPI 1063494243

Eye Health Northwest Optical, LLC

Organisation Eyewear Supplier Portland, OR

Practice location

Address: 1955 NW Northrup St, Portland, OR 97209-1614
Phone: (503) 227-2020
Fax: (503) 222-0614
Mailing address: PO Box 22009, Milwaukie, OR 97269-2009

Authorised official

Name: Robert Wells Bentley
Title: President
Phone: (503) 557-2020

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Oregon →

Registry record

NPI: 1063494243
Entity type: Organization
NPI issued: 15 Nov 2005
Record last updated: 17 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.