OrganizationActive
Eye Health Northwest Optical, LLC
NPI 1063494243 · Eyewear Supplier · Portland, OR
Provider details
- NPI number
- 1063494243
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Robert Bentley, President(503) 557-2020
Specialties & taxonomies
Suppliers
Practice location
1955 Nw Northrup St
Portland, OR 97209-1614
Phone: (503) 227-2020
Fax: (503) 222-0614
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 22009
Milwaukie, OR 97269-2009
Registry dates
- Enumerated
- 2005-11-15
- Last updated
- 2008-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.