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Individual
DR. WAYNE T MILLER
Active
Individual
DR. WAYNE T MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004438-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10035673-6564
CDPHP-HMO
NY
01
—
906624
MVP-HMO
NY
Enumeration date
09/20/2005
Last updated
02/17/2008
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