Individual
CHARLES D MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2616 LAWNDALE DR, SUITE A, GREENSBORO, NC 27408-4800
(336) 288-1919
(336) 545-1931
Mailing address
2616 LAWNDALE DR, SUITE A, GREENSBORO, NC 27408-4800
(336) 288-1919
(336) 545-1931
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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