Northwest Eye Associates LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

680887 Issued in OR

Legal business name

NORTHWEST EYE ASSOCIATES LLC

Practice address

2222 NW Lovejoy St
Suite 504
Portland, OR 97210-3033

Phone

(503) 227-6568

Fax

(503) 227-3919

NPI assigned

Nov 1, 2006

Last updated

Sep 24, 2007By 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

Jennifer Balentine, MDNPI 1962482638

Title

Owner Partner

Phone

(503) 227-6568

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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.

• Jennifer Lanay Balentine, MD

  • Ophthalmology Physician
  • Portland, OR
  • NPI 1962482638
  Medicare reassignment Authorized official
• Lorinna H Lombardi, M.D.

  • Ophthalmology Physician
  • Tigard, OR
  • NPI 1073718276
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1629156187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY ST",
            "address_2": "SUITE 504",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103033",
            "telephone_number": "503-227-6568",
            "fax_number": "503-227-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY ST",
            "address_2": "SUITE 504",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103033",
            "telephone_number": "503-227-6568",
            "fax_number": "503-227-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "BALENTINE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "503-227-6568",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "680887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Extremity Specialists LLC
• Northwest Extremity Specialists LLC
• Northwest Extremity Specialists LLC
• Northwest Extremity Specialists LLC
• Northwest Extremity Specialists, LLC
• Northwest Family Acupuncture
• Northwest Family Mental Health Services LLC
• Northwest Family Services
• Northwest Foot & Ankle
• Northwest Forensic Institute

• Ophthalmology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.