Individual
CHARLES D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1035
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327310001
DMERC SUPPLIER NUMBER
NC
01
—
093F2
BCBS
NC
01
—
21944
PARTNERS
NC
01
—
22027058
UNITED HEALTH CARE
NC
01
—
410047496
RAILROAD
NC
01
—
6271257
CIGNA
NC
01
—
73917
MEDCOST
NC
05
—
89093F2
—
NC
Enumeration date
12/07/2005
Last updated
07/27/2010
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