EYE HEALTH NORTHWEST OPTICAL, LLC
NPI 1073595823
Eyewear Supplier in Portland, OR
NPI Status: Active since November 17, 2005
Contact Information
9555 SW BARNES RD
SUITE 201
PORTLAND, OR
ZIP 97225
Phone: (503) 227-2020
Fax: (503) 222-0614
- Organization
- Eyewear Supplier
- CLIA Number: 38D1023405
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-15-2026
About EYE HEALTH NORTHWEST OPTICAL, LLC
This page provides the complete NPI Profile along with additional information for Eye Health Northwest Optical, Llc, a provider established in Portland, Oregon operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1073595823 assigned on November 2005. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Robert Wells Bentley Md (President)
- NPI
- 1073595823
- Provider Name
- EYE HEALTH NORTHWEST OPTICAL, LLC
- Entity Type
- Organization
- Location Address
- 9555 SW BARNES RD SUITE 201 PORTLAND, OR 97225
- Location Phone
- (503) 227-2020
- Location Fax
- (503) 222-0614
- Mailing Address
- PO BOX 22009 MILWAUKIE, OR 97269
- Mailing Phone
- (503) 557-2020
- Mailing Fax
- (503) 222-0614
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-17-2005
- Last Update Date
- 09-17-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1243050007 | MEDICARE NSC (07) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D1023405
- Facility Type
- Physician Office
- Certificate Effective Date
- March 16, 2024
- Certificate Expiration Date
- March 15, 2026
- Laboratory Director
- KERRY HAGEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Eye Health Northwest Optical, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 5 | 9 | 5 | 8 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 10 | 9 | 10 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 0 + 9 + 1 + 0 + 8 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1073595823 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922001023 | DR. JAY CHRISTOPHER ANDERSEN M.D. Individual | Internal Medicine (Hematology & Oncology) | 9555 SW BARNES RD STE 150 PORTLAND, OR 97225 (503) 297-7403 |
| 1780687566 | DR. LISA LOUISE MCCLUSKEY M.D. Individual | Obstetrics & Gynecology (Gynecologic Oncology) | 9555 SW BARNES RD STE 150 PORTLAND, OR 97225 (503) 297-7403 |
| 1467455238 | DANIEL RICHARD GRUENBERG M.D. Individual | Internal Medicine (Hematology & Oncology) | 9555 SW BARNES RD STE 150 PORTLAND, OR 97225 (503) 297-7403 |
| 1578552584 | IRIS J HAN MD Individual | Pediatrics | 9555 SW BARNES RD STE 301 PORTLAND, OR 97225 (503) 297-3371 |
| 1922097930 | LISA A REYNOLDS MD Individual | Pediatrics | 9555 SW BARNES RD STE 301 PORTLAND, OR 97225 (503) 297-3371 |
| 1811986813 | HUGH E ALEXANDER III MD Individual | Pediatrics | 9555 SW BARNES RD STE 301 PORTLAND, OR 97225 (503) 297-3371 |
| 1043209067 | ROBERT J GILLESPIE MD Individual | Pediatrics | 9555 SW BARNES RD STE 301 PORTLAND, OR 97225 (503) 297-3371 |
| 1861481889 | EDWARD MERLE RICHMAN MD Individual | Pediatrics | 9555 SW BARNES RD STE 301 PORTLAND, OR 97225 (503) 297-3371 |
| 1760471775 | WILLIAM D NICHOLS MD Individual | Internal Medicine (Pulmonary Disease) | 9555 SW BARNES RD STE 301 PORTLAND, OR 97225 (503) 297-3371 |
| 1780673798 | TERI L PETTERSEN MD Individual | Pediatrics | 9555 SW BARNES RD STE 301 PORTLAND, OR 97225 (503) 297-3371 |
| 1316936321 | BEVERLY L WITTKOPP MD Individual | Pediatrics | 9555 SW BARNES RD STE 301 PORTLAND, OR 97225 (503) 297-3371 |
| 1356330377 | BRIAN A LAUER MD Individual | Internal Medicine (Infectious Disease) | 9555 SW BARNES RD STE 301 PORTLAND, OR 97225 (503) 297-3371 |
| 1891784815 | SUSANNE H PURNELL MD Individual | Pediatrics | 9555 SW BARNES RD STE 301 PORTLAND, OR 97225 (503) 297-3371 |
| 1609865625 | SMITA TOMKORIA MD Individual | Pediatrics | 9555 SW BARNES RD STE 301 PORTLAND, OR 97225 (503) 297-3371 |
| 1356331748 | CATHERINE W THOMPSON MD Individual | Pediatrics | 9555 SW BARNES RD STE 301 PORTLAND, OR 97225 (503) 297-3371 |
| 1730161704 | LORI A SKOCZYLAS NP Individual | Nurse Practitioner | 9555 SW BARNES RD SUITE 100 PORTLAND, OR 97225 (503) 292-3577 |
| 1073595062 | HELEN C WELCH CNM Individual | Advanced Practice Midwife | 9555 SW BARNES RD SUITE 100 PORTLAND, OR 97225 (503) 292-3577 |
| 1760464713 | DR. LARRY L. VELTMAN M.D. Individual | Obstetrics & Gynecology | 9555 SW BARNES RD SUITE 100 PORTLAND, OR 97225 (503) 292-3577 |
| 1497738868 | DEBORAH DURAN-SNELL CNM Individual | Advanced Practice Midwife | 9555 SW BARNES RD SUITE 100 PORTLAND, OR 97225 (503) 292-3577 |
| 1598723678 | DR. DEBORAH KAY PURCELL MD Individual | Pediatrics | 9555 SW BARNES RD SUITE 270 PORTLAND, OR 97225 (503) 297-1025 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073595823, enumerated in the NPI registry as an "organization" on November 17, 2005
The provider is located at 9555 Sw Barnes Rd Suite 201 Portland, Or 97225 and the phone number is (503) 227-2020
This medical organization specializes in Eyewear Supplier with taxonomy code 332H00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 38D1023405 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 17, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.