Dr. Keith Lyndon Miller, O.D.
Optometrist in Stevenson, WA. Individual provider (NPI-1).
NPI number1962437285
StatusActive
Last updated in NPPESAug 17, 2012
Details
- NPI
- 1962437285
- Entity type
- Individual (NPI-1)
- Name
- Dr. Keith Lyndon Miller
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2006
- Last updated
- Aug 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 602829747 | WA | Yes |
Practice location
136 Nw Second StreetStevenson, WA 98648
Phone 509-427-8259 · Fax 509-427-8268
Mailing address
7667 Se Lincoln StPortland, OR 97215-4153
Phone 509-427-8259 · Fax 509-427-8268
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