NPI 1194940726

Eyehealth Northwest Optical, LLC

Organisation Eyewear Supplier Milwaukie, OR

Practice location

Address: 11086 SE Oak St Administration, Milwaukie, OR 97222-6692
Phone: (503) 344-5102
Fax: (503) 344-5110
Mailing address: PO Box 22009, Milwaukie, OR 97269-2009

Authorised official

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

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Oregon →

Registry record

NPI: 1194940726
Entity type: Organization
NPI issued: 17 Apr 2007
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.