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Active NPI 1962437285 Individual Practitioner Male Practitioner

Dr. Keith Lyndon Miller , OD

Optometrist • Stevenson, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Keith Miller, OD is a certified Optometrist practicing in Stevenson, WA. With approximately 40 years of clinical experience since graduating from Southern College Of Optometry in 1986, Dr. Miller delivers high-quality medical care to the local community at 136 NW SECOND STREET.

Dr. Miller is affiliated with Mobilitycares Oregon Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include full field recording of retinal electrical responses to external stimuli with interpretation and report, new patient complete exam of visual system, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

136 Nw Second Street

Stevenson, WA 98648

Telephone 5094278259
Fax 5094278268
Associated Practice Facility / Clinic
🏢 Keith L Miller, Od, Pc Facility NPI 1023480050

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Stevenson, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
40 Yrs +5.0 yrs vs City Avg
City Avg: 35.0 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Stevenson, WA (1692 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Miller (40 Years) 40 Yrs
Stevenson Specialty Average (35.0 Years) 35.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report
137 137 $180.00 $123.84
92004 New patient complete exam of visual system
136 136 $180.00 $145.97
92250 Photography of the retina
136 136 $100.00 $33.03
92283 Extended color vision examination
95 95 $75.00 $44.39

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA 602829747

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
G8873418 (WA)

Hospital & Practice Group Affiliations

Mobilitycares Oregon Llc

75 Shore Dr, Saint Helens, OR 970511125

Phone: 2089951122

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1306917356

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2012

Registered at 136 NW SECOND STREET, STEVENSON, WA 98648 (Tel: 5094278259)

📍
Updated Business Mailing Address August 17, 2012

Registered at 7667 SE LINCOLN ST, PORTLAND, OR 972154153 (Tel: 5094278259)

👤
Provider Name / Credentials Updated August 17, 2012

Recorded as KEITH MILLER, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2012

Optometrist (License #602829747 in WA)

🟢
Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962437285
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: August 17, 2012
Sole Proprietor: Yes

Mailing Address

7667 Se Lincoln St

Portland, OR 972154153

Phone: 5094278259

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.