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1063494243
EYE HEALTH NORTHWEST OPTICAL, LLC
PORTLAND, OR
NPI
1063494243
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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
1955 NW NORTHRUP ST
PORTLAND, OR 97209-1614
Phone number: 503-227-2020
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Mailing Address
EYE HEALTH NORTHWEST OPTICAL, LLC
PO BOX 22009
MILWAUKIE, OR 97269-2009
Phone number: 503-557-2020
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