Sally Jean Miner, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO00000932 Issued in WA

Practice address

3260 NW Mount Vintage Way
Silverdale, WA 98332-6000

Phone

(360) 698-1685

Fax

(360) 698-1763

NPI assigned

Feb 11, 2009

Last updated

Feb 11, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1700025921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 NW MOUNT VINTAGE WAY",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836000",
            "telephone_number": "360-698-1685",
            "fax_number": "360-698-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 NW MOUNT VINTAGE WAY",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983326000",
            "telephone_number": "360-698-1685",
            "fax_number": "360-698-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "SALLY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "DO00000932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Owen Miller, M.D.
• Elizabeth Miller
• Michelle Catherine Miller, MA 60106267
• Sara Millet
• Filiz Millik, MD
• Joseph Francis Minore Sr., MD
• Kristen Alicia Minteer
• Angela Lynn Mirador, RN
• Miranda Fabrega DMD Ms PLLC (Salish Orthodontics)
• Rajeev Pathak Misra, D.O.

• Optician in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Optician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.