# MARK DAVID MILLER P. C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548528151
- **Authorized official:** DR. MARK D MILLER O.D. (OWNER)
- **Authorized official phone:** (317) 773-1981

## Contact information

- **Practice address:** 16865 CLOVER RD, NOBLESVILLE, IN 46060-3640
- **Practice address phone:** (317) 773-1981
- **Practice address fax:** (317) 773-1781
- **Mailing address:** 19905 WINDSOR PARK BLVD, WESTFIELD, IN 46074-4328
- **Mailing address phone:** (317) 557-8987
- **Mailing address fax:** (317) 773-1781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 18002264 | IN | Yes |

## Other

- **Enumeration date:** 05/02/2012
- **Last updated:** 10/25/2021