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EYE HEALTH NORTHWEST P.C.
NPI 1124353362
Ophthalmology in Milwaukie, OR

Active since October 06, 2009
11086 SE OAK ST, MILWAUKIE, OR 97222(503) 656-4221(503) 656-4249 Get Directions Write a Review

NPPES record last updated: February 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eye Health Northwest P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE HEALTH NORTHWEST P.C. (NPI 1124353362) is a healthcare organization registered as an ophthalmology in Milwaukie, Oregon and active in the NPI registry since October 2009. The organization lists Shane K Kim, President, as its authorized official.

NPPES Registry Identity

NPI1124353362
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEYE HEALTH NORTHWEST P.C.
Location Address11086 SE OAK STMilwaukie, OR 97222-6692
Mailing AddressPo Box 22009Milwaukie, OR 97269-2009 · (503) 558-7372 · Fax (503) 344-5110
Phone(503) 656-4221
Fax(503) 656-4249
Organization SubpartYes
Authorized OfficialShane K KimPresident · (503) 255-2291
Enumeration DateOctober 6, 2009
Last NPPES UpdateFebruary 20, 2021
NPPES CertifiedFebruary 20, 2021
✔ NPI 1124353362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
11086 SE OAK ST, Milwaukie, OR 97222
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Other Identifiers 1

Medicaid085006OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Eyehealth Northwest carries, from the Medicare DMEPOS supplier directory.

Eyehealth Northwest

DMEPOS supplier · Milwaukie, OROperated by Eye Health Northwest PC
✔

Accepts Medicare assignment

Eyehealth Northwest agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20659547
Medicare Participant SinceJanuary 1, 1998
Supplier Location11086 SE Oak StMilwaukie, OR 97222
Phone(503) 344-5170
Provider TypePhysician – General Practice)
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADAM MARCUS HANIF
Ophthalmology
11086 SE OAK ST
MILWAUKIE, OR 97222
Clackamas County (503) 656-4221
EYEHEALTH NORTHWEST OPTICAL, LLC
Eyewear Supplier
11086 SE OAK ST, ADMINISTRATION
MILWAUKIE, OR 97222
Clackamas County (503) 344-5102
EYE HEALTH NORTHWEST OPTICAL, LLC
Eyewear Supplier
11086 SE OAK ST
MILWAUKIE, OR 97222
Clackamas County (503) 557-2020
EYE HEALTH NORTHWEST, PC
Ophthalmology
11086 SE OAK ST, ADMINISTRATION
MILWAUKIE, OR 97222
Clackamas County (503) 557-2020
JOSEPH SIMONETT
Ophthalmology
11086 SE OAK ST
MILWAUKIE, OR 97222
Clackamas County (503) 656-4221
JONA ARIELLE JOHNSON O.D., M.B.A.
Optometrist
11086 SE OAK ST
MILWAUKIE, OR 97222
Clackamas County (503) 656-4221
DR. MINDY THANH MINH TA OD
Optometrist
11086 SE OAK ST
MILWAUKIE, OR 97222
Clackamas County (503) 656-4221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eye Health Northwest P.C.'s NPI number?

The NPI number for Eye Health Northwest P.C. is 1124353362. It was assigned to this organization in the NPPES registry on October 6, 2009.

Where is Eye Health Northwest P.C. located?

Eye Health Northwest P.C. is located at 11086 SE Oak St, Milwaukie, OR 97222. The listed phone number is (503) 656-4221.

What is Eye Health Northwest P.C.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Eye Health Northwest P.C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Eyehealth Northwest accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Eye Health Northwest P.C. was last updated on February 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.