Eye Health Northwest Optical, Llc in Troutdale - Eyewear Supplier
Eye Health Northwest Optical, Llc - NPI 1043292220
Eye Health Northwest Optical, Llc is a Eyewear Supplier in Troutdale, Oregon. Eye Health Northwest Optical, Llc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Eye Health Northwest Optical, Llc is 1043292220. The last update date is 2008-09-17.
Eye Health Northwest Optical, Llc's current location address is 24601 Se Stark St, Troutdale, Oregon. You can contact this provider via phone number 5036672431 and fax number 5032521797. The mailing address for Eye Health Northwest Optical, Llc is 24601 Se Stark St, Troutdale, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eye Health Northwest Optical, Llc |
|---|---|
| Address | 24601 Se Stark St, Troutdale, Oregon |
| Phone Number | 5036672431 |
| Fax Number | 5032521797 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bentley Wells Robert |
| Credentials | MD |
| Telephone Number | 5035572020 |
NPI Number Detail
| NPI Number | 1043292220 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2008-09-17 |
Provider Mailing Address Detail
| Address | 24601 Se Stark St |
|---|---|
| City | Troutdale |
| State | Oregon (OR) |
| Post Code | 970603355 |
| Phone Number | 5036672431 |
| Fax Number | 5032521797 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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What is the unique identifier code issued to Eye Health Northwest Optical, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Eye Health Northwest Optical, Llc has been assigned the NPI (National Provider Identifier) 1043292220. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Eye Health Northwest Optical, Llc?
The Eye Health Northwest Optical, Llc is physically situated at 24601 Se Stark St, in the city of Troutdale, state of OR, with the postal code 970603355.
What is the Eye Health Northwest Optical, Llc's specialty and taxonomy code?
The Eye Health Northwest Optical, Llc's specialty is Eyewear Supplier, and the corresponding taxonomy code is 332H00000X.
When was the Eye Health Northwest Optical, Llc's 1043292220 issued?
The Eye Health Northwest Optical, Llc's 1043292220 was issued on 2005-11-15.
When was the Eye Health Northwest Optical, Llc's information last updated?
The Eye Health Northwest Optical, Llc's information was last updated on 2008-09-17.