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1992787410
EYE HEALTH NORTHWEST OPTICAL, LLC
PORTLAND, OR
NPI
1992787410
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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
2005-11-18
Last Update Date
2008-09-17
Business Address
EYE HEALTH NORTHWEST OPTICAL, LLC
15405 SW 116TH AVE SUITE 204
PORTLAND, OR 97224-4101
Phone number: 503-620-4070
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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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