Keith Miller Od Pc

LBN: Keith Miller Od Pc
Keith Miller Od Pc is an health care organization with primary practice located at 11800 Se 82Nd Ave , Happy Valley OR 97086. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Keith Miller Od Pc can be contacted via phone (503) 786-5235, or through Miller, Keith via phone (503) 860-6399.

Contact Information

Primary practice address
11800 Se 82Nd Ave Happy Valley OR 97086
Phone: (503) 786-5235
Fax: (503) 654-5429
Website:
Map and Directions
Authorized official contact:
Name: Miller, Keith Doctor of Optometry (OD)
Phone: (503) 860-6399

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1654AT Oregon
Eye and Vision Services Providers / Optometrist 152W00000X OD00003109 Washington

Profile Details

NPI number 1760641138
LBN Legal business name Keith Miller Od Pc
DBA Doing business as
Authorized official Miller, Keith Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2008
Last updated Sep 29th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760641138 NPPES
Oregon MEDICAID 500691425

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