NPI 1124278213
Eyehealth Northwest Optical, LLC
Practice location
- Address
- 15963 SE Happy Valley Town Center Dr, Happy Valley, OR 97086-4253
- Phone
- (503) 344-5102
- Fax
- (503) 344-5110
- Mailing address
- 11086 SE Oak St, Milwaukie, OR 97222-6692
Authorised official
- Name
- Robert Wells Bentley
- Title
- President
- Phone
- (503) 557-2020
Registered specialties
Eyewear Supplier
Primary
Registry record
- NPI
- 1124278213
- Entity type
- Organization
- NPI issued
- 24 Sep 2008
- Record last updated
- 24 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.