Northwest Eye Care LLC
Optometrist in Clackamas, OR. Organization (NPI-2).
NPI number1669856902
StatusActive
Last updated in NPPESJul 16, 2015
Details
- NPI
- 1669856902
- Entity type
- Organization (NPI-2)
- Legal business name
- Northwest Eye Care LLC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2015
- Last updated
- Jul 16, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1620ATI | OR | Yes |
| 152WV0400X | Optometrist, Vision Therapy | 1620ATI | OR |
Other names
- Northwest Eye Care Professionals (Doing Business As)
Practice location
15259 Se 82nd DrSuite 101
Clackamas, OR 97015-6609
Phone 503-657-0321 · Fax 503-657-7066
Mailing address
15259 Se 82nd DrSuite 101
Clackamas, OR 97015-6609
Phone 503-657-0321 · Fax 503-657-7066
Authorized official
Bruce Robert Wojciechowski
Manager
5036570321
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