Individual
DR. CHRISTOPHER TATE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1212 PLEASANT ST, SUITE 202, DES MOINES, IA 50309-1414
(515) 244-3937
(515) 243-1442
Mailing address
1212 PLEASANT ST, SUITE 202, DES MOINES, IA 50309-1414
(515) 244-3937
(515) 243-1442
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02282
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04179
GROUP ID WELLMARK
IA
05
—
0496182
—
IA
05
—
0496752
—
IA
01
—
15320
WELLMARK PROVIDER NUMBER
IA
Enumeration date
05/04/2006
Last updated
07/09/2007
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