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Contact Information

KEITH L MILLER, OD
136 NW SECOND STREET
STEVENSON, WA98648
 Phone: 509-427-8259
 Fax: 509-427-8268
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KEITH L MILLER · (Male)

NPI Number 1962437285
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/12/2006
Last updated 08/17/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # 602829747
  • WA Medicaid G8873418
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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