NPI 1760641138

Keith Miller OD PC

Organisation Optometrist Happy Valley, OR

Practice location

Address: 11800 SE 82nd Ave, Happy Valley, OR 97086
Phone: (503) 786-5235
Fax: (503) 654-5429

Authorised official

Name: Keith Miller
Title: Owner
Phone: (503) 860-6399

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1654AT (OR)

Other Optometrist providers in Oregon →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence OD00003109 (WA)

Registry record

NPI: 1760641138
Entity type: Organization
NPI issued: 2 Jun 2008
Record last updated: 29 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.