Eyehealth Northwest Optical, LLC

NPI #1124278213 in Happy Valley, Oregon

Provider Information

NPI Number: 1124278213
Entity Type: Organization
Organization Name: Eyehealth Northwest Optical, LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 24, 2008
Last Updated: Sep 24, 2008

Practice Location

Address: 15963 SE HAPPY VALLEY TOWN CENTER DR
City: Happy Valley
State: Oregon
ZIP Code: 97086-4253
Phone: (503) 344-5102

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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