Individual
DR. TERRI L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
350 E SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1868
(479) 442-3838
(479) 442-3838
Mailing address
350 E SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1868
(479) 442-3838
(479) 442-3838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2124
OK
152W00000X
Optometrist
Primary
2431
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114720
EYEMED VISION CARE
AR
05
—
129015722
—
AR
01
—
4511960001
DURABLE MEDICAL GOODS
AR
01
—
MI722399
CLARITY VISION
AR
Enumeration date
07/25/2006
Last updated
07/24/2008
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