EYE HEALTH NORTHWEST P.C.
NPI 1437483096
Ophthalmology in Clackamas, OR

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

The NPI number for Eye Health Northwest P.C. is 1437483096. It was assigned to this organization in the NPPES registry on September 29, 2009.

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

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

Active since September 29, 2009

12817 SE 93RD AVE, CLACKAMAS, OR 97015(503) 783-3300(503) 783-3319 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 13, 2026, Dec 21, 2021, Dec 1, 2015 (3 updates tracked since 2015).

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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 1437483096) is a healthcare organization registered as an ophthalmology in Clackamas, Oregon and active in the NPI registry since September 2009. The organization lists Brett M Williams, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437483096

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameEYE HEALTH NORTHWEST P.C.

Location Address12817 SE 93RD AVEClackamas, OR 97015-5735

Mailing AddressPo Box 22009Portland, OR 97269-2009 · (503) 558-7372 · Fax (503) 344-5140

Phone(503) 783-3300

Fax(503) 783-3319

Organization SubpartYes

Authorized OfficialBrett M WilliamsCeo · (503) 344-5101

Enumeration DateSeptember 29, 2009

Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2026

✔ NPI 1437483096 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.

12817 SE 93RD AVE, Clackamas, OR 97015

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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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye Health Northwest P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateOregonEnrollment IDO20100930094473DME · Physician - General PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 2

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

ELIZABETH ANNE VERNER-COLE M.D.

Ophthalmology (Retina Specialist)

12817 SE 93RD AVE
CLACKAMAS, OR 97015

Clackamas County (503) 783-3300

DR. BETH RACHEL GABBARD O.D.

Optometrist

12817 SE 93RD AVE
CLACKAMAS, OR 97015

Clackamas County (503) 783-3300

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 1437483096. It was assigned to this organization in the NPPES registry on September 29, 2009.

Where is Eye Health Northwest P.C. located?

Eye Health Northwest P.C. is located at 12817 SE 93rd Ave, Clackamas, OR 97015. The listed phone number is (503) 783-3300.

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

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

Is Eye Health Northwest P.C. enrolled in Medicare?

Yes. Eye Health Northwest P.C. is registered in the Medicare PECOS enrollment system.

When is Eye Health Northwest P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oregon, Physician - General Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Eye Health Northwest P.C. was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.