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Organization
WAYNE T. MILLER, O.D., PLLC
Active
Organization
WAYNE T. MILLER, O.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE THOMAS MILLER O.D. (SOLE MEMBER)
(845) 679-0393
Entity
Organization
Contact information
Practice address
292 STATE ROUTE 375, WEST HURLEY, NY 12491-5632
(845) 679-0393
(845) 679-0390
Mailing address
292 STATE ROUTE 375, WEST HURLEY, NY 12491-5632
(845) 679-4636
(845) 679-0390
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004438-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100356736564
HMO
NY
01
—
906624
HMO
NY
Enumeration date
07/20/2006
Last updated
10/30/2009
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