EYE HEALTH NORTHWEST OPTICAL, LLC
NPI 1992787410
Eyewear Supplier in Portland, OR

NPI Status: Active since November 18, 2005

Contact Information

15405 SW 116TH AVE
SUITE 204
PORTLAND, OR
ZIP 97224
Phone: (503) 620-4070
Fax: (503) 598-9661

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  • Organization
  • Eyewear Supplier
  • CLIA Number: 38D2068817
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-11-2025

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 1992787410 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 18 years ago. The authorized official of this NPI record is Dr. Robert Wells Bentley Md (President)

NPI
1992787410
Provider Name
EYE HEALTH NORTHWEST OPTICAL, LLC
Entity Type
Organization
Location Address
15405 SW 116TH AVE SUITE 204 PORTLAND, OR 97224
Location Phone
(503) 620-4070
Location Fax
(503) 598-9661
Mailing Address
PO BOX 22009 MILWAUKIE, OR 97269
Mailing Phone
(503) 557-2020
Mailing Fax
(503) 598-9661
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2005
Last Update Date
09-17-2008
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT WELLS BENTLEY MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(503) 557-2020

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
1243050002MEDICARE 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
38D2068817
Facility Type
Physician Office
Certificate Effective Date
November 12, 2023
Certificate Expiration Date
November 11, 2025
Laboratory Director
PRASHANTH VALLABHANATH MD
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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992787410, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 1 + 4 + 8 + 1 + 4 + 4 + 2 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1992787410.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Audiologist
15405 SW 116TH AVE, STE 200
KING CITY, OR 97224
Dentist
15405 SW 116TH AVE, #208
KING CITY, OR 97224
Massage Therapist
15405 SW 116TH AVE, SUITE 101
KING CITY, OR 97224
Audiologist-Hearing Aid Fitter
15405 SW 116TH AVE, STE 200
KING CITY, OR 97224
Audiologist
15405 SW 116TH AVE, STE 200
KING CITY, OR 97224
In Home Supportive Care
15405 SW 116TH AVE
KING CITY, OR 97224
Optometrist
15405 SW 116TH AVE, UNIT 204
KING CITY, OR 97224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992787410, enumerated as an "organization" on November 18, 2005.

The provider is located at 15405 SW 116TH AVE SUITE 204 PORTLAND, OR 97224 and the phone number is (503) 620-4070.

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 verify.