Eyehealth Northwest Optical, LLC

NPI #1083805857 in Portland, Oregon

Provider Information

NPI Number
1083805857
Entity Type
Organization
Organization Name
Eyehealth Northwest Optical, LLC
Primary Specialty
Eyewear Supplier
Enumeration Date
Aug 7, 2007
Last Updated
Aug 7, 2007

Practice Location

Address
3246 N LOMBARD ST
State
Oregon
ZIP Code
97217-1206
Phone
(503) 285-1671

Authorized Official

Name
DR. ROBERT WELLS BENTLEY, MD
Title
PRESIDENT
Phone
(503) 557-2020

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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