Dr Keith Lyndon Miller, OD | |
136 Nw Second Street, Stevenson, WA 98648 | |
(509) 427-8259 | |
(509) 427-8268 |
Full Name | Dr Keith Lyndon Miller |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 136 Nw Second Street, Stevenson, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962437285 | NPI | - | NPPES |
G8873418 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 602829747 (Washington) | Primary |
Provider Name | The Eye Team, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659797025 PECOS PAC ID: 1850516634 Enrollment ID: O20140711000018 |
Provider Name | Mobilitycares Oregon Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275308835 PECOS PAC ID: 8921459751 Enrollment ID: O20240105002699 |
Mailing Address | Practice Location Address |
---|---|
Dr Keith Lyndon Miller, OD 7667 Se Lincoln St, Portland, OR 97215-4153 Ph: (509) 427-8259 | Dr Keith Lyndon Miller, OD 136 Nw Second Street, Stevenson, WA 98648 Ph: (509) 427-8259 |
Dr. Anthony W Bergstrom, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 Nw 2nd St, Stevenson, WA 98648 Phone: 509-427-2020 Fax: 509-427-8268 | |
Stevenson Family Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 136 Nw 2nd St, Stevenson, WA 98648 Phone: 509-427-2020 Fax: 509-427-8268 |