Provider Type Icon

GORDON A MILLER MD NPI 1689869422


NPI Information

NPI: 1689869422
Provider Name: GORDON A MILLER, MD

Doing Business As: WILLAMETTE VALLEY EYE SURGICENTER

Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
2001 COMMERCIAL ST SE
SALEM, OR
ZIP 97302
Phone: (503) 363-1500
Get Directions

GORDON A MILLER, MD is an ophthalmologic surgery clinic center in Salem, OR. GORDON A MILLER, MD NPI is 1689869422. The provider is registered as an organization entity type.
The provider Is Doing Business As Willamette Valley Eye Surgicenter.

The provider's business location address is:

2001 COMMERCIAL ST SE
SALEM, OR
ZIP 97302-207
Phone: (503) 363-1500
Fax: (503) 588-2028

The provider's authorized official is Gordon A Miller .
The authorized official title is Owner and has the following contact phone number (503) 363-1500.

The enumeration date for this NPI number is 9/13/2007 and was last updated on 8/23/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS0132XClinic/CenterOphthalmologic Surgery07-1431OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R0000DBBBTMEDICARE PINOREGON
2018031MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.