Keith Miller Od Pc in Happy Valley - Optometrist
Keith Miller Od Pc - NPI 1760641138
Keith Miller Od Pc is a Optometrist in Happy Valley, Oregon. Keith Miller Od Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Keith Miller Od Pc is 1760641138. The last update date is 2016-09-29.
Keith Miller Od Pc's current location address is 11800 Se 82nd Ave, Happy Valley, Oregon. You can contact this provider via phone number 5037865235 and fax number 5036545429. The mailing address for Keith Miller Od Pc is 11800 Se 82nd Ave, Happy Valley, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Keith Miller Od Pc |
|---|---|
| Address | 11800 Se 82nd Ave, Happy Valley, Oregon |
| Phone Number | 5037865235 |
| Fax Number | 5036545429 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Miller Keith |
| Credentials | OD |
| Telephone Number | 5038606399 |
NPI Number Detail
| NPI Number | 1760641138 |
|---|---|
| Provider Enumeration Date | 2008-06-02 |
| Last Updated Date | 2016-09-29 |
Provider Mailing Address Detail
| Address | 11800 Se 82nd Ave |
|---|---|
| City | Happy Valley |
| State | Oregon (OR) |
| Post Code | 97086 |
| Phone Number | 5037865235 |
| Fax Number | 5036545429 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OD00003109 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500691425 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Keith Miller Od Pc?
The Keith Miller Od Pc has been issued the NPI (National Provider Identifier) 1760641138 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Keith Miller Od Pc?
The Keith Miller Od Pc is physically situated at 11800 Se 82Nd Ave, in the city of Happy Valley, state of OR, with the postal code 97086.
What is Keith Miller Od Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Keith Miller Od Pc is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760641138 to Keith Miller Od Pc?
The Keith Miller Od Pc received its 1760641138 assignment from the Centers for Medicare & Medicaid Services on 2008-06-02.
As of what date were the details pertaining to Keith Miller Od Pc last refreshed?
The information related to the Keith Miller Od Pc, including its address, specialty, and other relevant details, was last updated on 2016-09-29.