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1043292220
EYE HEALTH NORTHWEST OPTICAL, LLC
TROUTDALE, OR
NPI
1043292220
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Entity Type
Organization
Authorized Contact
ROBERT WELLS BENTLEY
President
503-557-2020
Organization Subpart ?
No
Primary Taxonomy
332H00000X Eyewear Supplier
Enumeration Date
2005-11-15
Last Update Date
2008-09-17
Business Address
EYE HEALTH NORTHWEST OPTICAL, LLC
24601 SE STARK ST
TROUTDALE, OR 97060-3355
Phone number: 503-667-2431
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Mailing Address
EYE HEALTH NORTHWEST OPTICAL, LLC
PO BOX 22009
PORTLAND, OR 97269-2009
Phone number: 503-557-2020
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