Eye Health Northwest P.C.
Ophthalmology in Portland, OR. Organization (NPI-2).
NPI number1790445633
StatusActive
Last updated in NPPESDec 20, 2021
Details
- NPI
- 1790445633
- Entity type
- Organization (NPI-2)
- Legal business name
- Eye Health Northwest P.C.
- Organization subpart
- Yes
- Enumeration date
- Dec 20, 2021
- Certification date
- Dec 17, 2021
- Last updated
- Dec 20, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHYSICIAN - OPTOMETRIST
- 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 |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
Practice location
9135 Sw Barnes Rd Ste 961Portland, OR 97225-6699
Phone 503-297-8243 · Fax 503-297-8244
Mailing address
Po Box 22009Portland, OR 97269-2009
Phone 503-558-7372 · Fax 503-344-5140
Authorized official
Brett M Williams
Ceo
5033445101
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