KEITH L MILLER, OD, PC (NPI# 1023480050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023480050 |
| Entity Type | Organization |
| Organization Name | KEITH L MILLER, OD, PC |
| Practice Address |
11800 Se 82nd Ave Happy Valley OR 97086-7711 |
| Mailing Address |
7667 Se Lincoln St Portland OR 97215-4153 |
| Practice Telephone | 5037865235 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | KEITH L MILLER (OWNER) |
| Authorized Official Telephone | 5037865235 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1865AT | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICARE | R179518 | 01 |
| OR | 500691425 | 05 |
| Street Address |
11800 SE 82ND AVE |
| City | HAPPY VALLEY |
| State | OR |
| Zip Code | 97086-7711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073947313 | William Paul Willis | Hearing Instrument Specialist | 11800 Se 82nd Ave, Happy Valley, OR 97086-7711 | 2013-08-22 |
| 1689914400 | Sustainable Vision LLC | Optometrist | 11800 Se 82nd Ave, Happy Valley, OR 97086-7711 | 2013-02-15 |
| 1043545122 | Samuel Edward Adelman | Optometrist | 11800 Se 82nd Ave, Happy Valley, OR 97086-7711 | 2009-10-07 |
| 1760641138 | Keith Miller Od PC | Optometrist | 11800 Se 82nd Ave, Happy Valley, OR 97086 | 2008-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063803674 | Brandy Lynn Sajovic | Case Manager/Care Coordinator | 10822 Se 82nd Ave., Suite K, Happy Valley, OR 97086 | 2015-02-18 |
| 1851795561 | Tyler Lundquist | Chiropractor | 16144 Se Happy Valley Town Center Dr #214, Happy Valley, OR 97086 | 2014-10-09 |
| 1184040644 | Rui O'reilly | Massage Therapist | 10911 Se Alyssa Dr, Happy Valley, OR 97086 | 2014-03-07 |
| 1083036990 | Laura Dillard | Registered Nurse | 10822 Se 82nd Ave, Happy Valley, OR 97086 | 2014-01-11 |
| 1699027672 | Clackamas Town Dental, LLC | Dentist | 9225 Se Sunnyside Road, Clackamas, OR 97086 | 2012-10-15 |
| 1750639233 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 11800 Se 82nd Avenue, Happy Valley, OR 97086 | 2012-08-15 |
| 1962641654 | Mt Scott Vision and Ocular Imaging Center PC | Optometrist | 9300 Ne 91st Ave, Suite 100, Happy Valley, OR 97086 | 2009-02-19 |
| 1598916546 | Cynthia Sue Weaver | Nurse Practitioner | 9300 Se 91 Ave., Suite 400, Portland, OR 97086 | 2008-10-08 |
| 1396928776 | Cary Ann Fardal | Dietitian, Registered | 13444 Se Piper Dr, Happy Valley, OR 97086 | 2007-12-09 |
| 1689873242 | New Seasons Market - Happy Valley | Pharmacy | 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 | 2007-07-13 |
| Find all providers in zip 97086 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235656547 | Dominic Jerome Dorazio | Optometrist | 12050 Se Stevens Rd Ste 100, Happy Valley, OR 97086-7667 | 2017-08-28 |
| 1275630808 | William Bert Berk Jr. | Optometrist | 13180 Se 169th Ave Ste 104, Happy Valley, OR 97086 | 2006-09-17 |
| 1013562354 | Pacific Eye Group, PC | Optometrist | 12000 Se 82nd Ave Ste 2193, Happy Valley, OR 97086-7746 | 2019-08-05 |
| 1396109039 | Dr. Han Tran & Associates, P.C. | Optometrist | 12000 Se 82nd Ave, 2012, Happy Valley, OR 97086-7721 | 2016-04-08 |
| 1437531522 | Han Mai Tran | Optometrist | 12000 Se 82nd Ave, Suite 2012, Happy Valley, OR 97086-7721 | 2015-06-24 |
| 1043545122 | Samuel Edward Adelman | Optometrist | 11800 Se 82nd Ave, Happy Valley, OR 97086-7711 | 2009-10-07 |
| 1760641138 | Keith Miller Od PC | Optometrist | 11800 Se 82nd Ave, Happy Valley, OR 97086 | 2008-06-02 |
| 1508037607 | Double Vision Inc | Optometrist | 13180 Se 169th Ave Ste 104, Happy Valley, OR 97086 | 2008-03-17 |
| 1447306360 | Nancy Buset | Optometrist | 13180 Se 169th Ave Ste 104, Happy Valley, OR 97086 | 2007-01-25 |
| 1609920701 | Anne Elizabeth Berk | Optometrist | 13180 Se 169th Ave Ste 104, Happy Valley, OR 97086-8727 | 2007-01-23 |
| Find all providers in HAPPY VALLEY | ||||
| City | HAPPY VALLEY |
| Zip Code | 97086 |
Please comment or provide details below to improve the information on KEITH L MILLER, OD, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.