Eye Health Northwest Optical, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYE HEALTH NORTHWEST OPTICAL, LLC

Practice address

9555 SW Barnes Rd
Suite 201
Portland, OR 97225-6663

Phone

(503) 227-2020

Fax

(503) 222-0614

NPI assigned

Nov 17, 2005

Last updated

Sep 17, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Wells Bentley, MDNPI 1982686671

Title

President

Phone

(503) 557-2020

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Wells Bentley, MD

  • Ophthalmology Physician
  • Portland, OR
  • NPI 1982686671
  Authorized official Same address or phone
• Aazy A Aaby, MD

  • Ophthalmology Physician
  • Portland, OR
  • NPI 1164404232
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1073595823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22009",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972692009",
            "telephone_number": "503-557-2020",
            "fax_number": "503-344-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW BARNES RD",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256663",
            "telephone_number": "503-227-2020",
            "fax_number": "503-222-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE HEALTH NORTHWEST OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WELLS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-557-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Susan Ey, PH.D.
• Eye Group Associates PC
• Eye Health Eastside Surgery Center
• Eye Health Eastside Surgery Center, LLC
• Eye Health Northwest Optical, LLC
• Eye Health Northwest Optical, LLC
• Eye Health Northwest Optical, LLC
• Eye Health Northwest P.C.
• Eye Health Northwest P.C.
• Eye Health Northwest P.C.

• Eyewear Supplier in Portland, OR
• Providers in Portland, OR by specialty
• Eyewear Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.