Timothy I Miller O.d. P.c.

NPI 1235383266 - Optometrist - 152W00000X

NPI Details
NPI 1235383266
Enumeration Date 11/04/2008
Last Updated 12/01/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name TIMOTHY I TIMOTHY
Position OWNER
Phone (815) 433-1426
Fax (815) 433-1446
Practice Location
107 E. MCKINLEY RD.
OTTAWA IL, 61350, US
Phone (815) 433-1426
Fax (815) 433-1446
Business Location
107 E. MCKINLEY RD.
OTTAWA IL, 61350, US
Phone (815) 433-1426
Fax (815) 433-1446
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046-006550
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According to our database, Timothy I Miller O.d. P.c. NPI is 1235383266, taxonomy code is 152W00000X and license number is 046-006550, license state is located at Illinois. Timothy I Miller O.d. P.c. physically located at 107 E. Mckinley Rd., Ottawa IL, 61350. NPI Number 1033115704 has the healthcare provider type.

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1235383266 NPI number is provided on an as is basis without warranty of any kind. 1235383266 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy I Miller O.d. P.c. are for informational purposes only.