Individual
DR. CHARLES E MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
605 E 4TH ST, MARSHFIELD, WI 54449-4519
(715) 387-6397
(715) 384-6140
Mailing address
605 E 4TH ST, MARSHFIELD, WI 54449-4519
(715) 387-6397
(715) 384-6140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2449
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27707
SPECTERA
WI
01
—
33994
SECURITY HEALTH
WI
01
—
38705100
HIRSP
WI
05
—
38705100
—
WI
01
—
3917827250
BLUE CROSS BLUE SHIELD
WI
01
—
410026847
RAILROAD MEDICARE
WI
01
—
511029
NVA
WI
01
—
5712-001
EYEMED
WI
01
—
73400
VIPA
WI
01
—
87726
ADVOCARE
WI
Enumeration date
08/26/2005
Last updated
04/22/2009
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