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1194940726
EYEHEALTH NORTHWEST OPTICAL, LLC
MILWAUKIE, OR
NPI
1194940726
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Entity Type
Organization
Authorized Contact
ROBERT WELLS BENTLEY
Officer
503-557-2020
Organization Subpart ?
No
Primary Taxonomy
332H00000X Eyewear Supplier
Enumeration Date
2007-04-17
Last Update Date
2008-09-17
Business Address
EYEHEALTH NORTHWEST OPTICAL, LLC
11086 SE OAK ST ADMINISTRATION
MILWAUKIE, OR 97222-6692
Phone number: 503-344-5102
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Mailing Address
EYEHEALTH NORTHWEST OPTICAL, LLC
PO BOX 22009
MILWAUKIE, OR 97269-2009
Phone number: 503-344-5102
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