Richard S Miller OD

NPI 1649381708 - Optometrist - 152W00000X

NPI Details
NPI 1649381708
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2000 SR 60 EAST
LAKE WALES FL, 33898-5182, US
Phone (863) 679-1915
Fax (863) 679-1634
Business Location
2000 SR 60 EAST
LAKE WALES FL, 33898-5182, US
Phone (863) 676-6076
Fax (863) 679-1634
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC001041
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According to our database, Richard S Miller OD NPI is 1649381708, taxonomy code is 152W00000X and license number is OPC001041, license state is located at Florida. Richard S Miller OD physically located at 2000 Sr 60 East, Lake Wales FL, 33898-5182. NPI Number Richard S Miller OD has the Individual type.

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1649381708 NPI number is provided on an as is basis without warranty of any kind. 1649381708 is maintained by the National Plan & Provider Enumeration System. The contents of Richard S Miller OD are for informational purposes only.