Eyehealth Northwest Optical, Llc

NPI 1083805857 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1083805857
Enumeration Date 08/07/2007
Last Updated 08/07/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT WELLS ROBERT
Position PRESIDENT
Phone (503) 285-1671
Fax (503) 285-7859
Practice Location
3246 N LOMBARD ST
PORTLAND OR, 97217-1206, US
Phone (503) 285-1671
Fax (503) 285-7859
Business Location
11086 SE OAK ST
MILWAUKIE OR, 97222-6692, US
Phone (503) 557-2020
Fax (503) 344-5110
Toxanomy
Taxonomy Code 332H00000X
License State
License Number
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According to our database, Eyehealth Northwest Optical, Llc NPI is 1083805857, taxonomy code is 332H00000X Eyehealth Northwest Optical, Llc physically located at 3246 N Lombard St, Portland OR, 97217-1206. NPI Number 1033115704 has the healthcare provider type.

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1083805857 NPI number is provided on an as is basis without warranty of any kind. 1083805857 is maintained by the National Plan & Provider Enumeration System. The contents of Eyehealth Northwest Optical, Llc are for informational purposes only.