Robert Wells Bentley, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD14177 Issued in OR

Practice address

1955 NW Northrup St
Portland, OR 97209-1614

Phone

(503) 227-2020

Fax

(503) 222-0614

NPI assigned

Nov 17, 2005

Last updated

Feb 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Health Northwest Optical, LLC

  • Eyewear Supplier
  • Portland, OR
  • NPI 1063494243
  Authorized official Same address or phone
• Eye Health Northwest Optical, LLC

  • Eyewear Supplier
  • Portland, OR
  • NPI 1073595823
  Authorized official Same address or phone
• Eyehealth Northwest Optical, LLC

  • Eyewear Supplier
  • Hillsboro, OR
  • NPI 1174714943
  Authorized official Same address or phone

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1982686671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22009",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972692009",
            "telephone_number": "503-558-7372",
            "fax_number": "503-344-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 NW NORTHRUP ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091614",
            "telephone_number": "503-227-2020",
            "fax_number": "503-222-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "ROBERT",
        "middle_name": "WELLS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD14177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150615",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bentley Therapeutic Services
• Deirdre Kathleen Bentley, QMHP
• Elizabeth D Bentley, PHARMD
• Katherine Elouise Bentley, MSW, LCSW, CADC I
• Madeleine Bentley
• Benton Integrative Health LLC
• Aasha Benton
• Amy Benton, P.T
• Chris Benton
• Jennifer Marie Benton, PT

• 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 Feb 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.